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