Petsafe.com.au ---> register your pet

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New Member Entry

Please fill in the form below with your personal details. Once you have completed this form please press the "Continue »" button which will lead you through to a confirmation screen and then the option to register a pet.

* Please note that fields with a red asterisk (*) beside them require information.

Microchip No:
		Please only enter numeric or alphabetic characters
Petsafe Collar Tag No:
Clinic ID No:

Owner's Details

		Title Given Name Last Name
Name		* *

		Unit Street No Street Name
Address

Suburb		* State: PCode:
Victorian Suburb
		If you are in Victoria then select your suburb from the above drop down list. If you are outside of Victoria no selection is required.

Tel (H)		* Tel (W):
Mobile		Fax:
e-mail address

Alternative person		Tel:

Choose Your Petsafe Password		*
Re-Enter Password		*
		The password can contain a combination of letters & number both in lower case and upper case. Please limit password to no more than 12 characters.

Pet's Details

Pet's Name		* Species: Dog Cat Other
Colour		Breed:
DOB		/ / Sex: M F Desexed: Yes No
		DD MM YYYY
Savage Dog
Join Petsafe Mail List
		To learn more about "Opting In or Out", click here

PLEASE NOTE: Registration may take up to 15 seconds.