WPA Retail Operating Report
World Pet Association
Retail Operating Report
Company Name:
*
Contact Name:
*
Email:
*
Street Address:
*
City:
*
State:
*
Zip:
*
Country:
*
Phone Number:
*
Type Of Business and Report Cost
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$295 for member retailers who do not participate
$495 for non-member retailers who do not participate
$795 Member, non-retailers
$995 Non-member, non-retailers
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ATTENTION RETAILERS Please attach a copy of your business license or other business document showing your company's legal business status. (i.e. a city business license.)
Total:
Payment Information
Amount to Charge :
Payment Method:
[Select a Payment Method]
American Express
Discover
MasterCard
Visa
Check
Enter the name on the bank account according to the information shown on your bank statement. The account number and routing number can be copied from the lower left corner of the check.
Bank Name:
Bank Account Holder Name:
Routing Number:
Account Number:
Account Type:
checking
savings
business checking
Name on Card:
Card #:
Expires:
01 - January
02 - February
03 - March
04 - April
05 - May
06 - June
07 - July
08 - August
09 - September
10 - October
11 - November
12 - December
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
Check #:
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