Local: 717 2026

1. Click ‘Get Form’ to open the Local: 717 document in the editor.
2. Begin by filling out the 'ACCOUNT INFORMATION' section. Enter your practice name, veterinarian’s name, and both mailing and shipping addresses. Ensure all fields are completed accurately.
3. In the 'FAX PERMISSION' section, provide your signature to authorize fax communications. This is essential for receiving important updates and information.
4. For 'ONLINE ORDERING ACCESS', create a username and password using alphanumeric characters only. Fill in your email address for order confirmations and promotional emails.
5. Review the 'AGREEMENT' section carefully. By signing, you confirm that all information is accurate and agree to the terms outlined.
6. Finally, ensure you include any required documents such as a copy of your valid state veterinary license before submitting the form.

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