International Veterinary Seminars
Secure Order Form

Select the registration below that you would like to order. Your transaction will be confirmed by email & a confirmation will also be mailed to you. Quebec City earlybird- by June 3 ($ 615.00 each) Quebec City advanced- by June 26 ($ 635.00 each) Quebec City regular ($ 655.00 each)

GENERAL INFORMATION

First Name:	Last Name DVM VMD:
Address:
City:	Province/State: postcode/Zip:
Country:
Phone Number:
E-Mail Address: