Get Pbec New Client Form (3).docx

Completing the PBEC New Client Form online is a straightforward process. This guide will walk you through each section of the form, ensuring that you provide the necessary information accurately and efficiently.

Follow the steps to complete the PBEC New Client Form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling in your name as the client (owner) in the designated field. Provide your complete mailing address ensuring all details are accurate.
3. Enter your contact information, including home, work, cell phone numbers, and fax, along with your email address.
4. If your permanent address differs from your mailing address, please fill in that section with the relevant details.
5. Provide your driver’s license name and number, including the state of issuance and expiration date.
6. Indicate who referred you to the clinic and the registered name of your horse. If you have an alternative name for your horse, include that as well.
7. Fill in the horse’s details, including discipline, breed, age, gender, and color. Ensure that all options are selected correctly to avoid any mistakes.
8. Provide the name and contact information of the trainer and groom who assist with your horse, including their phone number.
9. In the next section, indicate the barn name, address, and phone number where your horse is stabled. Also, include any gate codes if necessary.
10. If applicable, specify if a barn manager is authorized to call on your behalf.
11. List any additional people who are authorized to communicate on your behalf for veterinary services, along with their phone numbers.
12. Review the payment policy and ensure you provide the name of the cardholder who will be placed on file, along with the credit card details (type, number, expiration date, and CVV).
13. Finally, provide the credit card billing address and sign to confirm your understanding of the payment policies.
14. After completing all sections, ensure to save your changes, and you can choose to download, print, or share the form as needed.

Complete your PBEC New Client Form online today for a smooth experience.