Owner Authorization Form

Universal Pet Meds operates as call centre and marketing company with offices in Canada and elsewhere. We specialize in connecting customers with pharmacies Internationally as well as within Canada. The following terms and conditions shall govern all sales delivered by www.universalpetmeds.com (the "Provider"), and its authorized pharmacies and the individual (the "Customer") regarding products offered for sale. The Customer herein represents to the Provider that:

I am of the age of majority, and: I understand that all medicine shall be dispensed and sold by a pharmacy operating Internationally and following the laws of that jurisdiction. I hereby authorize the Provider, as my attorney and agent, to do all that is required to obtain a valid prescription for any and all medicines as required, as well as packaging and delivering the medicine to an address that I provide. This authorization shall include, but not be limited to: collecting and using my personal health information for the purpose of fulfilling all prescription orders and disclosure to a licensed physician if necessary to issue a new valid prescription in the Pharmacy's jurisdiction. The provider shall act for me as though I was personally present at the pharmacy itself.

I understand that each pharmacy is authorized to carry on the business of pharmacy and that I am purchasing medications that are licensed or approved for sale by the pharmacy. Title to my medications passes from the pharmacy to me in as soon as the products are released from the pharmacy. All agreements and contracts formed shall be deemed to take place in the jurisdiction of the pharmacy and the laws of the jurisdiction of the pharmacy shall apply. I attorn to the courts of the jurisdiction of the pharmacy, which shall have exclusive jurisdiction over any and all disputes that may arise between myself and the pharmacy, its officers and directors.

I HAVE READ AND UNDERSTAND THESE TERMS AND AGREE THAT THEY SHALL BE BINDING UPON ME AND MY ASSIGNS, HEIRS AND PERSONAL REPRESENTATIVES.

I am the Owner of the pet disclosed herein and I am over the age of majority, or I have full authority to sign for and provide the above representations to the Pharmacy on the Owners's behalf.


Mailing Address:
4936 Yonge St - Suite 835
Toronto, ON
M2N 6S3 CA

Hours of Operation:
Monday to Friday: 7:00am to 12:00 midnight CST
Saturday: 8:00am to 6:00pm CST
Sunday: 9:30am to 6:00pm CST
Phone Numbers:
Toll Free Phone: 1-800-239-2593
Local Phone: 925-524-6740


Fax Numbers:
Toll Free Fax: 1-866-671-6378