First Name Required Last Name Required

Street Address Required

City Required State Maine Alaska Alabama Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming Zip Code Required 5 digits

Phone: Primary Required 3 digits3 digits Required 3 digits3 digits Required 4 digits4 digits Alternate

Email: Required name@host.com

We will confirm receipt of your order by email. Please make pet-scripts.com a "safe domain" in your e-mail's Junk E-Mail Protection, or check your Junk or Spam folder to find your confirmation.

1. Rx # Required Pet's Name Required

2. Rx # Pet's Name

3. Rx # Pet's Name

Find the prescription refill number in the top-left corner of your prescription label.

If your refill(s) require(s) authorization from your veterinarian, would you like the pharmacy to contact them? Yes No

How would you like to pay for this prescription? Charge the credit card you have on file for me. Please call me for a new credit card number.

When we receive orders before noon, we can usually fill them the same day.

How would you like to receive your refill?

Pick-Up Date mm/dd/yy Time Select a time 9-10 am 10 am – 12 noon 12 noon – 2 pm 2 – 5 pm After Hours

If you select Pick-Up, but do not specify a date and time, we will plan to have your order ready for pick-up by the following business day, in the afternoon.

Ship Standard U.S. Postal Priority Mail
      1-4 days; usually one day for ME and NH
      $7.00 weekdays or $10.50 weekends

Ship UPS Ground
      Guaranteed next business day for ME, MA, NH, VT, CT, RI
      $10.50; $12.50 for remote locations

Ship Express Mail
      Guaranteed next day most places
      Approximately $18.00 – $26.00, depending on weight and destination