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Educational Material Reorder Form
Please use this form to order additional educational materials for your practice.
Fields marked with an asterisk * are required.

AKC Veterinary Network Identifier Number
if available
First Name*
Middle Name
Last Name*
Your Title
Your Practice's Name*
Your Primary Telephone Number*  -   -   X  
E-mail Address

Option 1: Please send me another COMPLETE kit of AKC educational materials
         NOTE:To include all materials listed in Option 2
Option 2: Please send me the selected materials below, in the quantities I have specified
Welcome to the AKC
AKC Veterinary Outreach Program
Canine Partners Brochure
AKC STAR Puppy Brochure
AKC Pet Healthcare Plan
AKC Reunite
Canine Good Citizen
AKC New Puppy Handbook
Quick-reference card with AKC contact information
Purebred Dog poster
To find out the status of your re-order, please send an email to