100th Annual Meeting | Pre-Registration Form


LEWIS AND CLARK VETERINARY MEETING
October 1-3, 2014

SPONSORED BY: INTERSTATE VETERINARY MEDICAL ASSOCIATION

Marina Inn South Sioux City, NE

Preregistration closes September 19th, 2014


How Many?

Event

Registration Cost

At-door Cost

Sub-Total

 
Complete Meeting $225

$225

$200
Small Animal Session
(Wednesday Only)
$150

$150

$130
Small Animal (Only) $200

$200

$175
Large Animal (Only) $200

$200

$175
Technician Complete $75

$75

$65
Technician
(Wednesday only)
$35

$35

$25
2014 Vet Graduates $110

$110

$100
Dr. Fitzgerald / Lunch Ticket

(Included in your registration, payment
 needed for non-registered guests only)

$50

$50

$50


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
1560 Crown Ridge Drive Sioux Center IA 51250
 
 
GRAND TOTAL
Total Amount