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 $185

$185

$185
Small Animal Session
(Wednesday Only)
$120

$120

$120
Small Animal (Only) $170

$170

$170
Large Animal (Only) $170

$170

$170
Technician Complete $65

$65

$65
Technician
(Wednesday only)
$25

$25

$25
2013 Vet Graduates $95

$95

$95
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