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Your Pets Are Our Priority We will respond to you in 15 minutes

Select An Amount *

Enter your required amount *

Date of Birth *

Day

Month

Year

Do You Drive? *YesNo

Drivers License Number *

Drivers License Version No. *

Email Address *

Your Clinic(If known)

Personal Information

First Name *

Middle Name

Last Name *

Gender *

Mobile Phone Number *0 / 10

Secondary Phone Number *Examples include: Home, Spouse or Next of Kin0 / 10

Address

Street Number *

Street Name *

Street Type *

Suburb *

Town or City *

Postcode *

Income and Expenses

Employment Status *

Employer / Business Name *

Your Occupation *

Your Monthly Net Income *This is your monthly income after tax.

Your share of monthly rent/mortgage *If applicable, your share of monthly board, rent or your contribution towards mortgage repayments.

Your share of monthly living expenses *This may include: utilities, transport, health/medical, groceries, education, insurances or entertainment.

Do you have any other loans? *YesNo

Term loan monthly repaymentsTerm loan monthly repayment

Credit card monthly repaymentsCredit card monthly repayment

Other loan monthly repaymentsOther loan monthly repayment

Your Calculated Disposable Income

We will process your application within 15 minutes and contact you by email. We may also call you to ask you further question. There is no obligation to use VetPay even after you have been approved. Once approved simply advise your clinic that you wish to add your pets treatment to your VetPay account. There is no cost if you do not use your VetPay account.

Electronic Correspondence *

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Terms and Conditions *By Ticking this box I confirm that I have read and agree to the Terms & Conditions including the Acknowledgement Section.