Veterinary Health Care Team of Arizona

Registration

 

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Annual Sponsors

Ames Diversified Services LLC

Butler Schein Animal Health

Camala C. Bailey, CPA, PC

Glendale Insurance LLC

K9-Games Dog Training

Novartis Animal Health

Pet Health Pharmacy

Royal Canin Veterinary Diet

Veterinary Anesthesia Systems Inc

Webster Veterinary Supply

 

   Registration forms for VHCTAz programs

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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.