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2016 Mid-Atlantic States Bovine Conference

17 Hours Continuing Education

Registration Form

Fill out the form below to register for the seminar. If you prefer to register by fax or mail, click here to download a form to print.

 

REGISTRATION FEES

Before 3/18

After 3/18

 

MVMA Member & Other AVMA District II
VMAs Veterinarian

$300 both days
$175 one day (March 31 or April 1)

$325 both days
$200 one day (March 31 or April 1)

 

Non-member Veterinarian

$325 both days
$200 one day (March 31 or April 1)

$375 both days
$225 one day (March 31 or April 1)

 

Technician

$200 both days
$155 one day (March 31 or April 1)

$235 both days
$170 one day (March 31 or April 1)

 

Students of Veterinary Colleges

Please contact the MVMA office

 

 

REGISTRATION SELECTIONS: (List all attendees)

First Registrant

Name Nickname           $

MVMA/District II VMA Member   Non-member Veterinarian   Technician   


Second Registrant

Name Nickname           $

MVMA/District II VMA Member   Non-member Veterinarian   Technician    


Third Registrant

Name Nickname           $

MVMA/District II VMA Member   Non-member Veterinarian   Technician    


 

                $


SPEAKER NOTES

Access to speaker notes online is included in your registration fee.

PAYMENT INFORMATION

Practice Name

Address 

City

   State     Zip

Work Phone

  Fax  

E-mail

 Please charge $  to my:

  VISA   MasterCard   American Express

Card Number Exp. Date   CSC # What's this?

Cardholder name

Billing Address

City

   State     Zip

 IMPORTANT: If you have a disability or dietary need and require special accommodation in order to fully participate in this event, please include a written description below. We can only provide access if we have prior notice.

       

NO REFUNDS AFTER MARCH 18, 2016

 

 

 

 


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2016 Maryland Veterinary Medical Association

Maryland Veterinary Medical Association l 3230 Maiden Lane l Suite 5 l Annapolis, MD 21403
phone: 410-268-1311 l fax: 410-268-1322

e-mail: MVMA@KeyAssnMgt.com