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128th Annual Summer Conference

Sponsored by the Maryland Veterinary Medical Association

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 6/13

After 6/13

 

MVMA Members

Entire Conference

Daily Registration

 

$395

$245

 

 

$435

$265

 

Maryland Lifetime & Retired Members

Entire Conference

Daily Registration
 

 

$295

$205

 

$295

$205

 

 

Non-Members
(fees include a full year of membership)

Entire Conference

Daily Registration
 


 

$585

$365

 


 

$585

$365

 

Veterinary Technicians

Entire Conference

Daily Registration

 

$295

$205

 

 

$295

$205

 

 

Spouse/Guest

(event food & beverage only, no classroom CE)
Spouses who are veterinarians must register as veterinarians for CE credit.
 

$170 $170
 

Students

(Attending Veterinary College)

Free Free

REGISTRATION SELECTIONS: (List all attendees)

Note: You must select an attendee type (DVM, RVT, Spouse, etc.) for each registrant. You must also select a Registration Type for each registrant who is not a spouse or child.


REGISTRANT 1

Name   Registration Type $

Membership Status 
VMD   DVM   Retired/Lifetime Member   RVT   Technician Spouse/Guest  Student


REGISTRANT 2

 

Name   Registration Type $

Membership Status 
VMD   DVM   Retired   RVT   Technician Spouse/Guest  Student


REGISTRANT 3

 

Name   Registration Type $

Membership Status 
VMD   DVM   Retired   RVT   Technician Spouse/Guest  Student


 REGISTRANT 4

 

Name   Registration Type $

Membership Status 
VMD   DVM   Retired   RVT   Technician Spouse/Guest  Student


                           $


                                     A LA CARTE FUNCTIONS

For spouses and guests only. These functions are included for all of the full registrants above.

 

 

  Quantity  
 

Sunday Welcome Reception

$80 x

$

 

Monday Awards Luncheon

$30 x

$

 

Monday Family BBQ

$65 x

$

 

 

$

   

$

 


BILLING INFORMATION

Practice Name

Address

City    State     Zip

Phone   Email   

Please charge $ to my:  VISA   MasterCard   American Express

Card Number Exp. Date   Card ID (CCV) What's this?

Cardholder name

Billing Address

City

   State     Zip

Contributions or gifts to MVMA are not deductible as charitable contributions for federal income tax purposes; however, dues, publications, advertising and registration fees are generally deductible. As ordinary and necessary business expenses. Check with your tax advisor.

Make Checks payable to MVMA. Federal Tax ID #52-6061425

Registration and Cancellation Policy: Notification must be received by MVMA headquarters if you have registered for the meeting and subsequently find you will be unable to attend. If registration cancellation is necessary, we will refund registration fees in accordance with the following schedule:

Cancellation received by:

  • Two weeks prior to first day of meeting 100% minus $100 processing fee

  • One week prior to first day of meeting 50% of registration fee

  • Less than one week prior to meeting No refund

  • “No Shows” will be charged the full registration fee.

If you have a disability or dietary need and require special accommodation in order to fully participate in this event, please check the box on the left. Include a description of your needs in the box below. We can only provide access if we have prior notice.

 

       

  SPONSORED BY:

            

 

 


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© 2014 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