Order a New Membership Card

Use this form to order a new membership card.

"*" indicates required fields

Your Name*

Membership ID Number (if you have it)

Street Address*

City*

State*

Zip*

Telephone Number*

Your Email*

Enter a Special Message, if Needed:

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We help pet owners ensure long and healthy lives for their pets by providing an affordable and accessible pet healthcare membership program.

Refer an Employer

"*" indicates required fields

Your Employer's Business Name*

Your Employer's City*

Your Employer's State*

Your Employer's Business Phone*

Your Name*

Your Email*

Comments

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I understand that UPC may use my name when contacting my employer and inform them of my desire for our company to join the UPC pet healthcare membership program. (UPC retains final authority for contracting with employers who wish to join our membership program.)

Note: This form does not serve as an enrollment form.

Questions? Contact us at: AZ: 602-266-5303 CA: 949-916-7374. Email: info@UnitedPetCare.com

Refer a Veterinarian

"*" indicates required fields

Name of Veterinarian*

Name of Facility*

Facility's City*

Facility's State*

Your Name*

Your Email*

Comments

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I understand that UPC may use my name when contacting my veterinarian and inform him/her of my desire for them to join the UPC provider network. (UPC retains final authority for approving inclusions in the provider network.)

Note: This form does not serve as an enrollment form.

Questions? Contact us at: AZ: 602-266-5303 CA: 949-916-7374. Email: info@UnitedPetCare.com