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Annual Sponsors |
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AXA Advisors LLC
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Butler Schein Animal Health
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Camala C. Bailey, CPA, PC
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Custom X-Ray Digital Equipment Sales & Service
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K9-Games Dog Training - Home of The Original Who's The Boss? Inc
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Merial Limited
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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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Webster Veterinary Supply
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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
Baseball
Social: 8/20/10
VHCTAz member: $25
Non-member/Guest: $35
|
____ Number of additional
tickets for guests
|
|
| 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. |
Reception
101: 8/25/10
Full Registration VHCTAz member: $45 Non-member:
$81
Lecture Only (no dinner) VHCTAz member: $32 Non-member:
$68
(Non-member fee includes 1 year optional membership)
|
___ Please
indicate if you require a vegetarian meal.
___ I
prefer to waive the 1 year membership for VHCTAz and pay the
non-member registration fee.
___ Register for lecture
without dinner.
|
|
| 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. |
|
