Registration Form for Veterinary Dental Consulting Seminars*Spring

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Registration Form for Veterinary Dental Consulting Seminars—Spring
2014
Please mark seminar/s attending. Completed form can be attached and emailed to:
pat@veterinarydentalconsulting.com.
o
Basic Veterinary Dentistry Seminar, Saturday, March 29, 2014 Fee: $225
($40 discount if also attending Dental Radiology Seminar by IM3)
o
IM3 Dental Radiography Seminar, Sunday, March 30, 2014 Sponsored by IM3.
Call 1-800-664-6348 for seminar info or email info@im3usa.com.
o
Canine Dentistry Seminar, Saturday, May 3, 2014 Fee: $385 Saturday only,
$660 both days
o
Feline Dentistry Seminar, Sunday, May 4, 2014 Fee: $385 Sunday only, $660
both days
o
Veterinary Dentistry Level 2 Seminar, Sunday, June 1, 2014 Fee: $395
Name/s:
_______________________________________________________________________
DVM_____________ Technician_____ ____ Assistant____ _______
Total registration fee : ________________
Practice:
Address:
Phone number:
Email:
Payment can be made by check made out to Veterinary Dental Consulting and sent to
2210 W. Main St, Ste 107, #218, Battle Ground, WA 98604.
Thank you.
Pat Frost Fitch, DVM, DipAVDC
Veterinary Dental Consulting
Battle Ground, WA
360-263-7636
pat@veterinarydentalconsulting.com
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