Become a Partner

Please complete the form below and someone will reach out to you and confirm your partnership.

Membership Information

You have selected the Rare Paws Charity Partner membership level.

The price for membership is $0.00 now.

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Password

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Email Address

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Full Name LEAVE THIS BLANK

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Name of Practice

Full Business Address

Hospital Website URL

Type of Practice

Please upload a photocopy of proof of business ( LLC, EIN, Business License, DVM License, etc.)

Please provide your social handles. (FB, Instagram, Linkedin, Tik Tok, etc.)

About how much on average a year does your practice adjust treatment plans due to owner financial restrictions?

First Name

Last Name

Address 1

Address 2

City

State

Postal Code

Country

Phone

Card Number

Expiration Date

Security Code (CVC)

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