International Veterinary Seminars
Secure Order Form

Select the appropriate registration below. Your transaction will be confirmed by email and also by regular mail. Santa Fe- earlybird by April 4 ($ 615.00 each) Santa Fe- advanced by April 28 ($ 635.00 each) Santa Fe- regular ($ 655.00 each)

GENERAL INFORMATION

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