2010 Winter Conference Registration Form
ACADEMY OF VETERINARY CONSULTANTS
Renaissance Hotel, Denver, Colorado
Thursday, December 2 – Saturday, December 4, 2010

*Please complete this section to register for the meeting, even if you do not need hotel reservations.
We must have this information to register you for CE and to plan for the correct number of meals. If you have any questions, please call the AVC Office at 913-766-4373.

Membership Information
Email*
First Name*                                       
Last Name*
I am a:*  
AVC Member
  Guest  ($75 Registration Fee; non-refundable two weeks before meeting)        AVC Student Member
Meeting Speaker
  Corporate Sponsor
Your Contact Information
Address*
City*
My Name Tag:  
Spouse Name Tag:
State/Province* First: Last: First: Last:
Zip/Postal Code* City: State: City: State:
Office Phone Number*      
Fax Number  Note to AVC Members: If your information is not correct, please go back and login and make corrections under "view my account"
Meals
Please indicate the total number attending each meal or activity in the spaces below.
          (Spouses are welcome to attend all meals with you!)

*Costs are based on returned registration

forms; please be considerate of your host.

If your meal plans change, please call

the AVC Office. Thank you.

Thursday Dinner (Industry Technical Seminar, Hosted by Pfizer Animal Health )
# that plan to attend*
Friday Breakfast (Industry Technical Seminar, Hosted by Elanco Animal Health )
# that plan to attend*
Friday Lunch (AVC Business Meeting)          
# that plan to attend*
Friday Dinner (Industry Technical Seminar, Hosted by Merial Limited )    
# that plan to attend*
Saturday Breakfast (Industry Technical Seminar, Hosted by Intervet/Schering Plough Animal Health )
# that plan to attend*
   

 
Lodging and Guest Fees

Hotel arrangements made by November 18th will receive the discounted rate. $99/night at the Renaissance Hotel.       

                                                                                   I will be needing hotel reservations:
No
Yes
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