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Request for information

If you are interested in pet insurance for your dog or cat and wish to make a request to receive more information about Union Plus Pet Insurance Programs, just fill in your details below.

* Required fields

 * First Name:
 * Last Name:
 * Country: USA
 * Address:
 * City:
 * State:
 * ZIP code:
 * Day Phone Number:
Evening Phone Number:
 * Best Time To Be Contacted: Morning
Afternoon
Evening
Any Time
 * Email Address:
   
In order to provide you with the proper Quote, we request the following:

 * Type of Pet (please check one):   Dog   Cat   Both

Please provide the name(s) & age(s) & breed(s) of your DOG(s) below:

Name Breed Age
Please provide the name(s) & age(s) & breed(s) of your CAT(s) below:

Name Breed Age
Currently Have A Pet Insurance? Yes No
If Yes, Current Insurance Company

How did you first hear about the ShelteCare Pet Insurance Programs?
Emailer Other

If other, please specify:

Questions or Comments?


To speak with a Union Plus Pet Insurance Programs' representative please call toll-free 1-866-473-PETS (7387) during regular business hours (Monday to Friday 8:00 am - 11:00 pm Eastern time, or Saturday 10:00 am to 6:00 pm Eastern time).

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Union Plus Pet Insurance Programs are underwritten in the U.S.A. by Praetorian Insurance Company, administered by PTZ Insurance Agency, (& Brokers) Ltd. Coverage is not available in AK . PTZ et al is a wholly owned subsidiary of Pethealth Inc. © 2004 Pethealth Inc. All right reserved. All images are the sole property of Pethealth Inc., and are not to be reproduced without permission.
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