ExeGi P.A.W.S Program

ExeGi Pharma, makers of Visbiome Vet, has developed the ExeGI Probiotics for Animal Wellness in Shelters program, for those shelters with many paws that can use and extra hand!

Shelter Information

Contact Person Information

Other Information About Shelter

Qualifying Application

Fill the Information below for an application to our ExeGi Probiotics for Animal Wellness in Shelters Program. Please note that this program is only for Shelters. Based on your responses to the questions below, we will assess your qualifications and contact you regarding program enrollment.
Shelter Name*
Shelter Address*

Street Address

Street Address Line 2

CityState

Zip Code
Shelter Phone Number*

Area CodePhone Number
Type of Shelter*
If Other please specify
Shelter Website or Social Media Account*
Do you have an attending veterinarian*

YesNo
Veterinarian Name

First NameLast Name
Practice Name
Veterinarian Email
example@example.com
Person of Contact Information
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Contact Email Address*
example@example.com
How did you hear about P.A.W.S?*
Refered by
Information About the Shelter

We will require more information about your facilities, medical condition and number of animals in your shelter and adptions.

On Average how many animals do you have by species and life stage?
Adults Dogs
Older than 1 year
Adults Cats
Older than 1 year
Puppies
Younger than 1 year
Kitten
Younger than 1 year
On average per month how many animals are adopted. You could take last years average
Dogs Adoptions
Average per month
Cats Adoptions
Average per month
How many dogs or cats present diarrhea symptoms or loose stool?

Almost all of them (Around 90%)Most of them (Around 75%)Half of them (Around 50%)Some of them (Around 25%)It is not that common
By submitting this form and being accepted to the Exe PAWS program, I agree that ExeGi Pharma may uses the shelter logo, name, information, pictures, and testimonials, as needed for promotional and other purposes.
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ExeGi P.A.W.S Program

Information About the Shelter

We will require more information about your facilities, medical condition and number of animals in your shelter and adptions.