2017 Winter Conference Registration Form

ACADEMY OF VETERINARY CONSULTANTS

November 30 - December 2 , 2017

 

INTERCONTINENTAL

KANSAS CITY AT THE PLAZA

 401 Ward Parkway

Kansas City, Missouri 64112

Check in after 4pm

$145/night. Deadline for discounted rate is November 6, 2017

November 7th - Late Registration Fee of $50 Will Be Added to Total

Complete this section to register for the meeting. *required fields

Membership Information
PLEASE NOTE: (type your email and click the Lookup button to complete the form automatically - if you are a member)
Email*  
(OR - type your first and last name below and click on the Lookup button to automatically fill the form - if you are a member)
   
First Name*    
Last Name*                                       
I am a:*  Please fill in membership type below.
AVC Member
  Guest  ($165)    AVC Student Member
Meeting Speaker
  Corporate Sponsor

(Two non-Veterinarian corporate sponsor representatives may register without paying registration fee. More than two will be charged the guest fee.)

Your Contact Information
Address*
City*
State/Province* (Abreviate Please)
Zip/Postal Code*
Office Phone Number*
Fax Number
 
My Name Tag:  
  First: Last:
  City: State:
 
Spouse Name Tag: If your spouse is attending, please fill out name tag.
  First: Last:
  City: State:
Meals

Please indicate the number attending each meal or activity in the spaces below. 

                        Spouses are welcome to attend all meals with you. 

Please choose ONLY the meals you plan to attend!

Thursday Dinner - Industry Technical Seminar, Hosted by Zoetis
# attending
Friday Breakfast - Industry Technical Seminar, Hosted by Boehringer Ingelheim
# attending
Friday Lunch - AVC Business Meeting
# attending
Friday Dinner - Industry Technical Seminar, Hosted by Merck Animal Health
# attending
Saturday Breakfast - Industry Technical Seminar, Hosted by Bayer Animal Health
# attending
          (Breakfasts will be served from 6:30 to 7:15 am. The speaker will begin at 7:00am)  
                                                                                If your plans change, please call the AVC Office at 913-766-4373.
Lodging and Guest Fees

 

                   By clicking "Yes" you will be directed to the hotel page.                                                                    

 I plan to stay at the conference hotel:
No
Yes
Submit Form
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