Eagle Pack Pet Foods, Inc.

First-Time User
Questionnaire

Please complete the form below.

If you are interested in changing from your current pet food to an Eagle Pack^® or Holistic Select^® diet, complete the form below. We will recommend a formula for your pet, and send you a coupon for a FREE bottle of Holistic Transition^TM with the purchase of any 3lb. or larger bag of Eagle Pack or Holistic Select food for your dog or cat.

Available in U.S. and Canada Only

Holistic Transition ensures a symptom-free transition to healthier pet food.

^*= required information
owners information
Please note the coupon will be sent to you via US mail, therefore, you must submit your full mailing address to receive your coupon.
First Name:^*
Last Name:^*
Email:^*
Address:^*
City:^*
State/Province:^*
Zip Code:^*
Country:^*

pet information
Breed of Pet:^*
Your Pet's Age:^*	(if your dog isn’t 1 year old yet, put a zero in the year field)
	years, months
Your Pet's Weight:^*	lbs.
Any special needs such as allergies, joint problem, pregnancy, diarrhea, etc.?:
Note: If your pet's special needs include allergies, please be sure to visit our Pet Health page for useful information.
What type of food are you currently feeding?
Sign me up for Holistic Pet Club to receive exclusive articles, veterinarian tips, special savings and more.

^*Information obtained from this form is used solely for the purpose of the food recommendation and for mailing of the requested coupon. Your personal information will not be shared with anyone outside of our company.