National Pet Register Microchip and Registration Package Order Form

Please complete the form below to pay for your microchip and registration packages.

Boxes marked with an asterisk are required fields.

By law we can only supply microchips to authorised implanters.
The person placing the order must be an authorized implanter and must quote their AIN.

Your Name * First Last
Your name.
Authorised Implanter Number *
AIN
The Government issued AIN is a legal requirement when ordering microchips.
Name of Organisation *

The name of the organisation the microchips are for.
Your Position *

Your position within the organisation.
Existing Customer?
Yes: No:
Is this organisation an existing customer of the National Pet Register.
Customer Number
If known
Please enter your NPR customer number if you have one.
Shipping Address *
Street Address

Town or Suburb

State or Territory

Postcode

Australia Country

The address the microchips will be shipped to.
Email Address *

Your current email address.
Phone Number (at least one number is required) - Area Code - Land Line Number
Please provide at least one contact phone number.
Mobile
Please provide at least one contact phone number.

Quantity (minimum 50) * $9.99 + GST each
Please enter the quantity of microchips and registration packages you wish to order (minimum quantity is 50). Orders for 300 or more cost $9.99 each instead of $10.99 for quantities fewer than 300.
Total Cost $519.40 (includes GST of $45.40 and shipping of $20.00)
Delivery Instructions
Extra delivery instructions or comments
Please add any delivery instructions here.