Lewis and Clark Meeting | Pre-Registration Form


LEWIS AND CLARK VETERINARY MEETING

SPONSORED BY: INTERSTATE VETERINARY MEDICAL ASSOCIATION

Marina Inn South Sioux City, NE


How Many?

Event

Pre-Registration Cost

At-Door Cost

Sub-Total

 
Complete Meeting $200

$225

$200
Small Animal Session
(Wednesday Only)
$175

$200

$175
Small Animal (Only) $175

$200

$175
Large Animal (Only) $175

$200

$175
Technician Complete $65

$75

$65
Technician
(Wednesday only)
$25

$35

$25
2015 Vet Graduates $100

$110

$100
Friday Dry Lab

$100

$100

$100


Email *
 
Clinic Name *
 
Full Name *
 
Address *
 
City, State Zip *
 
Spouse's Name
 
Doctor's Names - separate by commas
 
Technician's Names - separate by commas
 
I will be paying by PayPal
 
I will be sending a check to
709 11th Street SE Orange City, IA 51041
 
GRAND TOTAL
Total Amount