Request For Information

If you are interested in pet insurance for your dog or cat and wish to make a request to receive more information about PetCare Pet Insurance Programs, just fill in your details below.

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PetCare Pet Insurance Programs

710 Dorval Drive, Suite 400,
Oakville, ON
L6K 3V7

Call us toll free:

1-888-897-7387

Fax: 1-866-369-PETS (7387)

Call Centre Hours
(Eastern Time)
8:00am to 12:00am (Mon-Fri)
10:00am to 8:00pm (Sat)

Administration Hours
(Eastern Time)
8:00am to 8:00pm (Mon-Fri)

First Name:*
Last Name:*

Address:*
City:*
Province:*
Postal Code:*
Day Phone:
Evening Phone:
E-mail:*

	In order to provide you with the proper Quote, we request the following:
Type of Pet :*	Dog Cat Both
	Information About Your DOG
Name:
Breed:	;
Age:
	Information About Your CAT
Name:
Breed:
Age:

Do You Currently Have Pet Insurance?	Yes No
Insurance Company

How did you first hear about the PetCare Pet Insurance Programs?	E-mailer Other
Please Specify:

Questions / Comments:

	NOTE: fields marked with an * are mandatory.

Budget for everyday costs according to your personal choice amongst the variety of toys, treats and foods
that are available. Vaccinations and ongoing preventative health care requirements can also be budgeted for as recommended by your veterinarian.

PetCare Pet Insurance Programs are underwritten by Lombard General Insurance Company of Canada, distributed by PTZ Insurance Brokers Ltd. & Gestion GroupAssurance inc. in Quebec. Coverage is available to all residents in all provinces, excluding the territories.

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