Registration Form for Veterinary Dental Consulting Seminars—Fall 2014
Please mark seminar/s attending. Completed form can be attached and emailed to:
pat@veterinarydentalconsulting.com.
o
Canine Dentistry Seminar, Saturday, October 4, 2014 Fee: $385 Saturday only,
$660 both days
o
Feline Dentistry Seminar, Sunday, October 5, 2014 Fee: $385 Sunday only,
$660 both days
o
Basic Veterinary Dentistry Seminar, Saturday, November 1, 2014 Fee: $250
Saturday only, $400 for full weekend
o
Anesthesia Monitoring for Dental Patients, Sunday morning, November 2, 2014
Fee: $150 Morning session only, $250 full day Sunday or $400 full weekend
o
Dental Radiography, Sunday afternoon, November 2, 2014
Fee: $100 Afternoon session only, $250 full day or $400 full weekend
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