registration form
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With one call to 1-800-487-5650 you can register for the seminar, book your room and organize your travel arrangements!

or print this page to register     INTERNATIONAL VETERINARY SEMINARS 

by MAIL: 210 Carbonera Drive  Santa Cruz, CA 95060    by FAX: 408-972-1038    by PHONE: 1-800-487-5650

Name of seminar you are attending:

Location:                                                Seminar fee:

Do you need a hotel room?  Yes   No

       If you do:  What day will you arrive?                       What day will you depart?

                            How many Adults?               Children?           

Room type (only some locations have different types available):   Your preference available- King        Two Doubles

        We will contact you to confirm the hotel reservation

I authorize International Veterinary Seminars to charge my Visa or Mastercard account the amount of US$_____________Exp. date__________

Card #_________________________________________________________

Name on Card___________________________________________________

Authorized signature:

Name_________________________________________________DVM  VMD

Hospital__________________________________________________________

Address__________________________________________________________

City_______________________________State__________________

Zip_____________Phone______________________Fax__________________