REGISTER

New Customers

Thank you for your interest in becoming a customer with Veterinary Distribution Company. Please have your information ready before beginning your online application, and please fill out the application in one sitting as the form will expire when left unattended.

We appreciate your patience, and we look forward to having you as a partner. You should be hearing back from us shortly with a determination on the set-up of your account once we receive your completed application. If you have any additional questions during this timeframe, please feel free to contact our Customer Experience Department at +1 786-661-1200 or email us at Support@Vetdist.com.

Customer Application

    Basic Information

    Contact Information

    Applicant Contact

    Billing Contact

    Shipping Contact

    Ownership Contact

    Below - Please Fill out the Information Regarding The owner ship of your company. If there are additional owners,
    Please Attach a Separate Sheet with a list of the additional owners. If partnership, Please Include all Partners

    Transportation Information


    *Requested Delivery Dates cannot always be Accommodated, And are subject to change.

    Sales Information

    Services Offered

    Products Offered

    Signature