PetCare Pet Insurance Programs - Request for Information

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 PetCare Pet Insurance Programs, just fill in your details below.

* Required fields

* First Name:
* Last Name:
* Country:	Canada
* Address:
* City:
* Province:
* Postal 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


Do You Currently Have Pet Insurance?	Yes No
If Yes, Current Insurance Company
How did you first hear about the PetCare Pet Insurance Programs?
Emailer Other
If other, please specify:
Questions or Comments?

To speak with a 24PetWatch Pet Insurance Programs' representative please call toll-free 1-866-275-PETS (7387) during regular business hours (Monday to Friday 8:00 am - 9pm Eastern time, or Saturday 9:00 am to 6:00 pm Eastern time).

Home \| Benefits \| Dog Programs \| Cat Programs \| Enrol Online \| Online Quote \| Make A Claim \| About PetCare \| Privacy Policy \| Site Map PetCare Pet Insurance Programs are underwritten by Lombard General Insurance Company of Canada, distributed by PetCare Insurance Brokers Ltd. & GroupAssurance, inc. in Quebec. Coverage is available to all residents in all provinces, excluding the territories.