EmailMe Form - ESAEU - REGISTRATION

How Did You Find Us? *

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Dog Groomers

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Mental Health Org

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Emotional Support Animal Registration

Animal Type: *

Animal's Name: *

first name only

Confirm

Animal's Breed: *

Animal's Sex: *

Female

Male

Animal's DOB: *

MM / DD / YYYY

Upload Animal's Photo For ID Card: *

select photo and upload with form - make sure its like a passport photo of your animal

Your Country Flag:

Animal's Address: *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Name of Parent or Guardian if ESA Owner is under 16 years of age

First Last

Authorization of Parent or Guardian as the ESA Owner under 16

I Authorize this process for the person under 16 years of age under my care

ESA Owner

First Name: *

Last Name: *

Date of Birth: *

MM / DD / YYYY

Sex: *

Male

Female

Email *

Confirm

Doctors/Mental Health Professional Information *

I will get a Letter as soon as I get access to a medical professional

I have a Letter from a Doctor or Mentals Health Professional

Doctor's or Mentals Health Professional's Name

Date of Letter

DD / MM / YYYY

File Upload

Please review your information to make sure everything is as accurate as possible.
I hereby certify that information I have provided is accurate and correct to the best of my knowledge.

By inputting my signature, I confirm that to the best of knowledge, the information I have provided to ESAEU is accurate.

NO Refund as all documentation is printed by prinitng companies and once sent cannot be recalled or cancelled

I also note that currently ESAs do not have the same legal rights as Service Animals.

signature *

Clear

ESA EU - ONE YEAR *

ESA REGISTRATION

MAKE SURE THIS ADDRESS IS CORRECT - IF IT IS RETURNED DUE TO WRONG ADDRESS YOU WILL HAVE TO PAY FOR NEW POSTAGE

YOUR CURRENT POSTAL / MAILING ADDRESS

WE DO NOT USE THE PAYPAL ADDRESS FOR DELIVERY

DELIVER : NAME TO *

FULL DELIVERY ADDRESS *

FULL POSTAL/MAILING ADDRESS

POSTCODE *

COUNTRY *

IF FEDEX DELIVERY SELECTED - FULL PHONE NUMBER REQUIRED

Confirm

POSTAL / DELIVERY TYPE:
Due to delivery issues, we have increased the fee to include tracking

Normal Post (included with tracking)

DHL/FEDEX - 3 Days (70.00)

Emotional Support Animal Registration

ESA Owner

MAKE SURE THIS ADDRESS IS CORRECT - IF IT IS RETURNED DUE TO WRONG ADDRESS YOU WILL HAVE TO PAY FOR NEW POSTAGE YOUR CURRENT POSTAL / MAILING ADDRESS WE DO NOT USE THE PAYPAL ADDRESS FOR DELIVERY

MAKE SURE THIS ADDRESS IS CORRECT - IF IT IS RETURNED DUE TO WRONG ADDRESS YOU WILL HAVE TO PAY FOR NEW POSTAGE

YOUR CURRENT POSTAL / MAILING ADDRESS

WE DO NOT USE THE PAYPAL ADDRESS FOR DELIVERY