Please print out this Hotel registration form and fax to 408-972-1038.

You can also call us at 1-800-487-5650

After receipt of this request we will contact you to confirm your reservation. A confirmation will also be mailed to you.

Which seminar are you attending?

Name of doctor attending:                                                D.V.M. or V.M.D.

Mailing address:

City                                State                    Zip

Contact phone#:                                        Fax#

e-mail:

How many other adults in room

How many children- please give ages:

Arrival date:

Departure date:

Type of room (refer to room types available at your selected hotel)

Bedding:     King    or     two doubles?   - We will send your request to the hotel- they will make every effort to accommodate your request

Credit card number to hold the room:

Expiration date:

Name on Card: