REGISTER FOR YOUR CHANCE TO WIN A $25 GIFT CERTIFICATE TO OUR SITE!

 

5 lucky winners selected monthly !

Healthypooch.com respectfully requests a few moments of your time to complete the registration form below. Please take the opportunity to tell us a little about yourself, your pets and the types of products you'd like to see us carry on the site. For taking the time to complete the form, we will enter you into a drawing in which you will be able to win one of five $25 Healthypooch.com gift certificates awarded each month.

PLEASE NOTE: Healthypooch.com will NOT sell this information, nor will we flood you with unwanted email. We intend to use this information to build a better shopping and information experience for you while contacting you selectively with site update and sale information.

Please complete the form in its entirety. Incomplete forms will not be processed.

  RULES & REGULATIONS:

Five winners per month will be randomly selected to each receive a $25 gift certificate good towards your next purchase at Healthypooch.com

Registrations good only during month received

One registration per household per month, PLEASE

Gift Certificates good for 1 year from date issued and can only be on a single purchase

Gift Certificates can be transferred

Gift Certificates can only be used for Healthypooch.com products and have no cash value - can not be used to purchase books.

Gift Certificates do not cover shipping charges

Winners will be awarded the first Saturday of each month.

Thanks for visiting Healthypooch.com. We hope you enjoy the site!

   


   

 

Name: 

Address: 

Address 2: 

City:     State/Province:     Zip Code: 

Country: 

E-mail address (REQUIRED)

Web site address: (optional) 

Phone Number:

WHERE DID YOU HEAR ABOUT US?: 

Have you purchased for your pet on-line?:  YES  NO

How much do you typically spend on-line?: 
< $50 $51-100 $101-250 > $250

Favorite on-line source for pet products: 
 
 

 

 
How many pet(s) do you own: 

Dogs >> quantity: breed(s): age(s):

Cats >> quantity: breed(s): age(s):

Horses >> quantity: breed(s): age(s):

Other  >> quantity: breed(s): age(s):

Has/have your pet(s) ever been treated by a holistic veterinarian? YES  NO

Have you ever purchased a homeopathic or natural remedy to treat your pet? YES  NO

If YES, what products have you used:
 

   

 
 
I would like to see the following products on Healthypooch.com:

Food >>> Specific Brand(s): Specific Product(s):

Food Enhancers >>> Specific Brand(s): Specific Product(s):

Diet Supplements >>> Specific Brand(s): Specific Product(s):

Treats & Chews >>> Specific Brand(s): Specific Product(s):

Toys >>> Specific Brand(s): Specific Product(s):

Skin Care >>> Specific Brand(s): Specific Product(s):

Flea / Tick Products >>> Specific Brand(s): Specific Product(s):

Homeopathic Remedies >>> Specific Brand(s): Specific Product(s):

Natural Remedies >>> Specific Brand(s): Specific Product(s):

Books

Other >>> Specify:
 
   
 
 
Any additional Comments / Requests?