Doctor Registration

Alpha Vet Science

Just Natural Science

Online Account Registration For Veterinary Professionals

Contact Info
Username*
Enter a username. (Min. 8 alphanumeric, lowercase chars. only).
Password*
Enter a password for your online account. (Min. 8 chars., incl. uppercase, lowercase, numbers).
Enter Password Confirm Password

Strength indicator
Name*
Prefix First Last
Facility/Business Name*
Business Tax Id Number
Business Address*
Street Address Address Line 2 City Province Postal Code
Business Telephone*
Mobile Telephone
Email*
Website
Account Payment Method
Account Type*
Enter an account type.
Payment Method*
Submit Credit Application
For payment terms, download Credit Application, fill, save and submit (upload) below.
Accepted file types: pdf, Max. file size: 128 MB.
Education
Educational Institution
If veterinary student, enter your educational institution.
Certification*
What is your current certification?
License Number
Speciality*
Communication
How did you hear of us?
Latest News
- Send me the latest on products, promotions and general news
Patient Referral Program
Your patients purchase our products directly online using your referral code. Program not applicable to Veterinary students.
- I wish to join AlphaVetScience Patient Referral Program
Terms of Use and Privacy Policy*
- I have read and agree to the Terms of Use* and Privacy Policy*.
Email
This field is for validation purposes and should be left unchanged.

Contact Info