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2014 MVMA Winter Ski Adventure

12 Hours Continuing Education

Registration Form

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

All registered attendees will receive 12 hours of Continuing Education, daily continental breakfast, and daily apres ski with beer, wine and light snacks. Note: No daily/partial registration is available for this event.
 

 

REGISTRATION FEES

 
 

Veterinarians
 

$450

 

Non-Veterinarians
(Technician, Student, Spouse, Guest)

$100

 

REGISTRATION SELECTIONS: (List all attendees)

First Registrant

Name Nickname           $

DVM   VMD   RVT   Technician   Student   Spouse/Guest


Second Registrant

Name Nickname           $

DVM   VMD   RVT   Technician   Student   Spouse/Guest


Third Registrant

Name Nickname           $

DVM   VMD   RVT   Technician   Student   Spouse/Guest


Fourth Registrant

Name Nickname           $

DVM   VMD   RVT   Technician   Student   Spouse/Guest


OPTIONAL ACTIVITIES

 

Ski Lift Tickets (JCards). Please enter the quantity of each type of ticket you will need. The cost will be added to your total when you click the "Calculate Total Due" button below.

 

Age Category

Qty.

3 of 4 days

Qty.

4 of 6 days

Qty.

5 of 7 days

Adult (ages 18-64)

$259.50

$338.00

$422.50

Youth (ages 15-17)

$233.25

$305.00

$381.25

Child (ages 6-14)

$156.75

$202.00

$252.50

Senior (ages 65+)

$207.75

$270.00

$337.50

                                            Subtotal for lift tickets (click the calculate button below to complete) $


Day-Trip to Yellowstone National Park with Naturalist   No. of people   x $290/person =   $

(includes transportation, breakfast, lunch and lecture)

 

                             Subtotal for Optional Events (click the calculate button below to complete) $


                                                                                                          $


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 No.  (What's this?)

Cardholder name

Billing Address

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.

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.

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:
Up to One Month prior to first day of meeting 100% minus $100 processing fee
Registrations cannot be refunded after February 11, 2014.


       

 

 

 

 


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2014 Maryland Veterinary Medical Association

Maryland Veterinary Medical Association l PO Box 5407 l Annapolis, MD 21403
phone: 410-268-1311 l fax: 410-268-1322

e-mail: MVMA@KeyAssnMgt.com