Skip to content
ASNW Eugene Registration April 27,2023
Animal Sounds NorthWest & SonoPath Dinner & Lecture Event - Thursday April 27, 2023
"
*
" indicates required fields
Email
*
First Name
*
Last Name
*
Corporate Affiliation
*
If you do not have a corporate affiliation, just type none.
Professional Code
*
V
VT
N/A
(Use the following profession codes for this board: Veterinarian=V; Veterinarian Technician=VT) SELECT FROM DROPDOWN!
Veterinary Credentials
*
DVM
DACVIM
DACVR
DABVP
DACVS
DACVSMR
Technician
Not A Veterinarian
DACVAA
DACVD
DACVECC
DACVIM-SAIM
DACVO
DACVP
DACVS-SA
DAVDC
DDA
ABVP
AH
APAC
ARDMS
ARF
BS
BSc
BVSc
CCRP
CCRT
CERP
CVA
CVCHM
CVJ
CVPP
CVT
ECVIM
HBSc
JD
LVT
MBA
MHS
MPH
MRCVS
MS
MSc
NAP
PhD
PT
RDMS
RPG
RVT
VMD
What state(s) is your license issued in?
*
What is your license number?
*
Company Name
*
Address
*
City
*
State
*
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MP
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UM
UT
VA
VI
VT
WA
WI
WV
WY
International/Other
Postal Code
*
Mobile Phone Number
*
Please select your dinner menu choice
*
Airline Chicken Piccata with with basmati rice, carrots and haricot verds
Braised Beef Short Ribs with red wine demi glaze served with garlic whipped potato, carrots and haricot verds
Vegetarian Butternut Squash Ravioli with brown butter and sage sauce, served with carrots and haricot verds
Grilled Salmon with saffron lemon butter, basmati rice, carrots and haricot verds
Anything else you'd like to let us know? Any Questions?
Δ