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Annual Sponsors |
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Ames Diversified
Services LLC |
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Butler Schein Animal
Health |
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Camala C. Bailey, CPA, PC
|
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Glendale Insurance
LLC |
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K9-Games Dog
Training |
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Novartis Animal
Health |
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Pet Health Pharmacy
|
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Royal Canin
Veterinary Diet |
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Veterinary Anesthesia Systems Inc |
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Webster Veterinary
Supply |
| |
Registration forms
for VHCTAz programs
Print this page.
Fax registration with credit card information to AzVMA 602.249.3828
or mail with check to: AzVMA,
100 W. Coolidge St., Phoenix, AZ 85013
Questions? Call AzVMA at 602.242.7936
Pediatric
Emergencies and Parvoviral Update: 2/9/12
VHCTAz member: $65
Non-member: $101 (includes optional 1-yr VHCTAz membership)
| ___ Indicate
if a vegetarian meal is required. |
| ___ I prefer
to pay the non-member registration and waive the 1-year
membership. |
|
| Name: |
| Hospital: |
| Phone:
Fax: |
| Email: |
| Visa, MC, Discover, AMEX #: |
| Exp. Date:
Amount: |
| V-code: |
| Credit card
billing address zip code: |
| Credit card holder's name: |
|
Signature: |
|
See above for fax number or address. |
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