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Teleseminar Registration, NEW MEMBER

Join the VBMA and register for the teleseminar.  An option to join, register and purchase a recording of the teleseminar is available as well...just choose the option from the drop down box. 

Membership term is one year.

For those purchasing a recording, you will be sent a link to download the file once the teleseminar is completed.

ALL fields below are REQUIRED.


Price:   $0.00 
Registration Types  
 
Veterinary Hospital/Clinic Name:

 
Hospital Clinic Address (include street, city, state zip):

 
State or Country (if not US) of primary license:

 
Hospital/Clinic Conact Telephone Number:

 
Hospital/Clinic Email Address:

 
Hospital/Clinic Website (if applicable):

 
Please list your Year of Graduation, Veterinary School Attended, Veterinary License Number, Degree Information & Credentials (DVM, VMD, etc.):

 
Would you like your Hospital/ Clinic information visible on the website for pet owner referral?:

 
Species Treated:

 
How or where did you hear about us? Please specify...word of mouth, current member, meeting, website, mailer, etc.:

Quantity:  

VBMA
Veterinary Botanical Medicine Association
Jasmine C. Lyon, Executive Director
6410 Highway 92
Acworth, Georgia 30102

office@vbma.org