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Inland Empire Veterinary Medical Association
IEVMA
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Winter Meeting Registration
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Winter Meeting Registration
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This field is for validation purposes and should be left unchanged.
Name
*
First
Last
Payer's Name
If this registration is being paid for via a Paypal account registered to someone else, please list the name of the account holder here. (This is strictly for our bookkeeping purposes.)
Phone
*
Email
*
Attendee Names
Please include the full names all lecture attendees you will be registering for here.
Number of BINGO Participants
Please let us know how many people in your travel party will be attending family BINGO night. This helps us know how many BINGO cards, snacks, and prizes we need!
Veterinarian
Quantity
Price:
$225.00
Quantity
Staff or Student
Quantity
Price:
$110.00
Quantity
Total
$0.00
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