Milbourn Equine Vets Data Protection Form

Branch *

Title *

First Name *

Last Name *

Address Line 1 *

Address Line 2

City

State / Province / Region

Postcode

Pets Name(s) *

We require your formal permission to use your email address and/or your mobile telephone number so that we can contact you electronically.
This would be to:

let you know when your pet's vaccinations are due,
reminders for parasite treatments, Pet Healthcare Plan, Nurse Clubs and Puppy Parties,
to contact you with test results & post op call backs relating to your pet,
insurance form & laboratory form processing, to pass on to referral specialists or Out of Hours provider.

Please tick all the relevant boxes below to confirm your preferences. If you change your mind at anytime about your marketing preferences please contact us. If you do not wish to be contacted electronically please be aware this may result in not receiving notifications regarding your pet's healthcare.
Please note all our incoming and outgoing telephone calls are recorded for training and monitoring purposes and deleted after 30 days.

Email *

Telephone (Mobile)

Comment or Message

Vaccination Reminders *

Text Email Post

Parasite Treatment Reminders *

Text Email Post

Appointment / Treatment Reminders *

Text Email Post

Newsletters *

Text Email Post

Surveys *

Text Email Post

Offers and Promotions *

Text Email Post

I consent to having this website store my submitted information so they can respond to my enquiry.

Milbourn Equine Vets is part of Linnaeus Veterinary Limited. We will not share this information with other companies for their marketing purposes. For more details on how we use your information please see our privacy policy.

The personal data submitted via this form will be retained only for the purpose of responding to your question or concern, and will not be used for marketing purposes.

You must be 16 years old or older to submit a form.

I agree to the Privacy Statement *

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Milbourn Equine Vets Data Protection Form

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