99th Annual Meeting | Pre-Registration Form


LEWIS AND CLARK VETERINARY MEETING
October 9-11 2013

SPONSORED BY: INTERSTATE VETERINARY MEDICAL ASSOCIATION

Marina Inn South Sioux City, NE

Preregistration closes September 14th, 2013


How Many?

Event

Registration Cost

At-door Cost

Sub-Total
 
Complete Meeting $165

$185

 $165
Small Animal Session
(Wednesday Only)		 $110

$120

 $110
Small Animal (Only) $155

$170

 $155
Large Animal (Only) $155

$170

 $155
Technician Complete $55

$65

 $55
Technician
(Wednesday only)		 $20

$25

 $20
2013 Vet Graduates $85

$95

 $85
Auxiliary $7.50

$7.50

 $7.50
Dinner Program $35.00

$35.00

 $35.00


Email *
 
Clinic Name *
 
Full Name *
 
Address *
 
City, State Zip *
 
Spouse's Name
 
Technician Name(s)
 
 
GRAND TOTAL
Total Amount