International Veterinary Seminars-Bar Harbor
Secure Order Form

Select the appropriate registration below. Your transaction will be confirmed by email. Bar Harbor- earlybird by August 11 ($ 645.00 each) Bar Harbor- advanced by Sept. 9 ($ 665.00 each) Bar Harbor- regular ($ 685.00 each)

GENERAL INFORMATION

First Name:	Last Name DVM VMD:
Address:
City:	Prov/State: Postcode/Zip:
Country:
Phone Number:
E-Mail Address: