--- title: 【アニミューン正規取扱い動物病院】加盟申請 正規取扱い動物病院ページ --- [Skip to content](https://www.hachi-animmune.com/no_pre_reg_a_260607#main-content) Close [![HACHI\_LOGO\_Negative\_Horizontal](https://www.hachi-animmune.com/hs-fs/hubfs/HACHI_LOGO_Negative_Horizontal.png?width=177&height=50&name=HACHI_LOGO_Negative_Horizontal.png)](https://www.hachi-animmune.com?hsLang=ja) [![HACHI\_LOGO\_Negative\_Horizontal](https://www.hachi-animmune.com/hs-fs/hubfs/HACHI_LOGO_Negative_Horizontal.png?width=177&height=50&name=HACHI_LOGO_Negative_Horizontal.png)](https://www.hachi-animmune.com?hsLang=ja) ![2606\_nA\_LP\_01-1](https://www.hachi-animmune.com/hs-fs/hubfs/2606_nA_LP_01-1.png?width=1000&height=280&name=2606_nA_LP_01-1.png "2606_nA_LP_01-1") ＼受け取り​期限：7/12（日）お申込み分まで​／ [![2606\_nA\_LP\_02](https://www.hachi-animmune.com/hs-fs/hubfs/2606_nA_LP_02.png?width=750&height=82&name=2606_nA_LP_02.png "2606_nA_LP_02")](https://www.hachi-animmune.com/no_pre_reg_a_260607#enquete)  ※下記の​フォームを​入力して​製品プレゼント​（仮登録）に​お申し込みください​。  ※すべての​必須項目に​ご記入ください。​未記入の​項目が​ある​場合、​次の​画面へ​進むことができません。​   ※下記の​フォームを​入力して​製品プレゼント​（仮登録）に​お申し込みください​。  ※すべての​必須項目に​ご記入ください。 　 ​未記入の​項目が​ある​場合、​次の​画面へ​進むことができません。​     ※万が​一、​上記の​フォームが​表示されない​場合は​ご連絡ください。​   ※ すでに​仮登録を​された​病院様は、​製品プレゼントの​対象外と​なります。​  フォームのご入力、誠にありがとうございます。 以上のご入力をもちまして、製品の出荷準備に入ります。  ![2606\_nA\_LP\_04-2](https://www.hachi-animmune.com/hs-fs/hubfs/2606_nA_LP_04-2.png?width=1000&height=836&name=2606_nA_LP_04-2.png "2606_nA_LP_04-2") ![2606\_nA\_LP\_05-1](https://www.hachi-animmune.com/hs-fs/hubfs/2606_nA_LP_05-1.png?width=1000&height=141&name=2606_nA_LP_05-1.png "2606_nA_LP_05-1") [![2606\_nA\_LP\_06](https://www.hachi-animmune.com/hs-fs/hubfs/2606_nA_LP_06.png?width=1000&height=344&name=2606_nA_LP_06.png "2606_nA_LP_06")](https://www.hachi-animmune.com/ma_wf_a_lp_01_01_2509?hsLang=ja) ![2606\_nA\_LP\_07](https://www.hachi-animmune.com/hs-fs/hubfs/2606_nA_LP_07.png?width=1000&height=266&name=2606_nA_LP_07.png "2606_nA_LP_07") 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03-6825-0833](https://no-cache.hubspot.com/cta/default/20348638/interactive-219058777706.png)](https://www.hachi-animmune.com/hs/cta/wi/redirect?encryptedPayload=AVxigLJlpe%2BmadeGxGiNHgN47VQu%2FVJg%2FWXTqHU%2FuP6vj3iVw6vXYItc4GIaG7ldVLkIPB%2B7d0bexe6X1ETLRiriGCYEdZqq%2B1DjI5%2FaxwvK6wKkL0yx6jMBH7fHIh%2FghGtidlAdrK%2F8Aliuf9vGZTIbF7huKiu0QfLc0nd%2FlyOeUEmXeOZ%2B8IiOnA%3D%3D&webInteractiveContentId=219058777706&portalId=20348638&hsLang=ja) ```json { "@context" : "http://schema.org", "@type" : "Organization", "address" : { "@type" : "PostalAddress", "addressCountry" : "〒", "addressLocality" : "港区虎ノ門", "addressRegion" : "東京都", "postalCode" : "105-0001", "streetAddress" : "1-16-6 7F UCF" }, "email" : "hello@power.com", "knowsLanguage" : "", "logo" : { "@type" : "ImageObject", "url" : "https://20348638.fs1.hubspotusercontent-na1.net/hubfs/20348638/hachi-logo-200px.png" }, "name" : "株式会社HACHI", "telephone" : "+49 (0) 89 123 456", "url" : "https://www.hachi-animmune.com/no_pre_reg_a_260607" } ```