Veterinary Medicine Order Form

Veterinary Practice
Personalized On Hold Order Form

BE SURE TO HIT THE "SEND" BUTTON BELOW...
Thank you!

Welcome to On Hold Specialists.com’s exclusive interactive veterinary section! Don’t forget to bookmark this page right now so you can come back to it every time you want to update your marketing tapes.

Please take advantage of this opportunity to include as much information as possible about any special promotions you are running, upcoming events at your clinic, etc. There is a place underneath the topic selections for you to type in personalized information for your specific clinic. We will blend the topics you selected with your specific information to create your on hold message!

For example, if you want to include dental information in your script choices, and you are offering a discount for national dental month in February. You would type in something like… "We will be discounting all dentals during Feb 20% to celebrate national dental month…."at the end of the page. We’ll do the rest!

Practice Information:

Please note: Practice name should be exactly as you want it to appear on your on hold message. By the way, we will NEVER sell any of this information or give it out to anyone. It is strictly for our files and our billing records.

Practice Name:
Veterinarian:
Contact Person:
Address:
City:
State:
Zip:
Phone:
Fax:
E-mail:
Web Page Address:

Is this the first time you are using our services?

Yes

Would you like to have the completed script(s) faxed or E-mailed as attachments to you?

E-mail

FAX

Please tell us how you found us.

Fax

Noticed Your Ad

Trade Show

E-mail

Friend

Surfing the Net

Radio/TV Commercial

SELECT YOUR PERSONALIZED PET HEALTH TOPICS:

Click next to the FIVE topics you would like on your tape, then click the "SEND" button at the bottom of the page. Your scripts will be emailed or faxed to you within a few days for your final approval.

Please remember to include information like special promotions you are running, events coming up, special hours, etc. You can type in this kind of information at the bottom of the page. We will take what you typed in and blend it with the topics you selected to create your script.

We will fax or E-mail you a completed script to review before any recording is started.
Your on hold tape arrives a few days after you approve the script!
You will be billed for all tapes, no need to give out your credit card number over the Internet.

	Promote our web site			Pfizer's Senility drug
	Dental Awareness			Senior Care Exams
	Obesity in pets			AAHA accreditation - what it means
	Rimadyl			Grooming (list specials below)
	Microchipping			Boarding (list details/specials below)
	Annual Physical Exams			Tours of our facility
	Separation Anxiety / Clomicalm			Anti-freeze safety tips
	Vaccinations (detail any clinics you may have below)			New or employee of the quarter (list details below)
	Important to spay/neuter			Holiday safety tips
	Heartworm Awareness			Summer safety tips
	Your 24 Hour Emergency Care			Seasonal Allergies
	Fleas & Ticks			Exotic Pets
	Canine Cough			Pet Fun Facts & Triva
	Laser Surgery Advantages			PennHip CHD Testing
	G I Upset			Prescription Diet Formulas
	ProHeart 6			Cataract/Glaucoma Screening
	Monthly Tooth Brushing			Health Certificates

Please tell us about any additional information you would like to include, like special promotions, special hours, or any information unique to your practice on any of the above listed topics.