Frontline Tri-Act

XS Dog (2-5kg) Price: £28.00 (exc VAT)

POM-VPS

I confirm that I am the keeper of the animal(s) for which this medicine is being purchased, am competent to use the product and will use it for the purpose authorised. I understand that I may be contacted to discuss its use, please could you also complete the following questions:

CHP/Flock/Herd Number

Species:

Number of Animals:

Can you confirm that the animals being treated are in good condition/health?

If replied No to the question above, please give details:

What condition is this product going to be used to treat/prevent?

What product was last used to treat this condition?

Is the animal on any other medication? If yes, please list:

Approximate weight of animals to be treated (kg):

Minimum age of the animal(s) to be treated (years:months):

Are the animals pregnant or lactating:

Have you used the product before?

If yes have you had any adverse reactions?

If replied Yes to the question above, please note the product name and type of reaction:

If animals are being kept at a different address to the order address, please confirm the address:

You have read the Summary of Product Characteristics (SPC). You have read the warnings and contra-indications and are aware of any withdrawal periods. You will use the product in accordance with the manufacturers direction set out in the SPC. If you are still unsure you will contact our RAMA.

I wish to be contacted by a RAMA to discuss this product further.

Qty:

Small Dog Price: £28.70 (exc VAT)

POM-VPS

CHP/Flock/Herd Number

Species:

Number of Animals:

Can you confirm that the animals being treated are in good condition/health?

If replied No to the question above, please give details:

What condition is this product going to be used to treat/prevent?

What product was last used to treat this condition?

Is the animal on any other medication? If yes, please list:

Approximate weight of animals to be treated (kg):

Minimum age of the animal(s) to be treated (years:months):

Are the animals pregnant or lactating:

Have you used the product before?

If yes have you had any adverse reactions?

If replied Yes to the question above, please note the product name and type of reaction:

If animals are being kept at a different address to the order address, please confirm the address:

I wish to be contacted by a RAMA to discuss this product further.

Qty:

Medium Dog Price: £31.35 (exc VAT)

POM-VPS

CHP/Flock/Herd Number

Species:

Number of Animals:

Can you confirm that the animals being treated are in good condition/health?

If replied No to the question above, please give details:

What condition is this product going to be used to treat/prevent?

What product was last used to treat this condition?

Is the animal on any other medication? If yes, please list:

Approximate weight of animals to be treated (kg):

Minimum age of the animal(s) to be treated (years:months):

Are the animals pregnant or lactating:

Have you used the product before?

If yes have you had any adverse reactions?

If replied Yes to the question above, please note the product name and type of reaction:

If animals are being kept at a different address to the order address, please confirm the address:

I wish to be contacted by a RAMA to discuss this product further.

Qty:

Large Dog Price: £34.20 (exc VAT)

POM-VPS

CHP/Flock/Herd Number

Species:

Number of Animals:

Can you confirm that the animals being treated are in good condition/health?

If replied No to the question above, please give details:

What condition is this product going to be used to treat/prevent?

What product was last used to treat this condition?

Is the animal on any other medication? If yes, please list:

Approximate weight of animals to be treated (kg):

Minimum age of the animal(s) to be treated (years:months):

Are the animals pregnant or lactating:

Have you used the product before?

If yes have you had any adverse reactions?

If replied Yes to the question above, please note the product name and type of reaction:

If animals are being kept at a different address to the order address, please confirm the address:

I wish to be contacted by a RAMA to discuss this product further.

Qty:

XLarge Dog Price: £40.04 (exc VAT)

POM-VPS

CHP/Flock/Herd Number

Species:

Number of Animals:

Can you confirm that the animals being treated are in good condition/health?

If replied No to the question above, please give details:

What condition is this product going to be used to treat/prevent?

What product was last used to treat this condition?

Is the animal on any other medication? If yes, please list:

Approximate weight of animals to be treated (kg):

Minimum age of the animal(s) to be treated (years:months):

Are the animals pregnant or lactating:

Have you used the product before?

If yes have you had any adverse reactions?

If replied Yes to the question above, please note the product name and type of reaction:

If animals are being kept at a different address to the order address, please confirm the address:

I wish to be contacted by a RAMA to discuss this product further.

Qty:

POM-VPS

POM-VPS

POM-VPS

POM-VPS

POM-VPS

Tupping Time

Tractor Convoy