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SDEP® LIVE Virtual Lab Weekends Registration for Companion Pet Partners
SDEP® LIVE Virtual Lab Weekends Registration – Companion Pet Partners
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*
" 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 the SDEP® LIVE Virtual Lab Weekend you would like to attend:
*
SDEP® Echo LIVE Virtual Lab Weekend: September 30 – October 2, 2022
SDEP® Abdomen LIVE Virtual Lab Weekend: January 27-29, 2023
Please select the registration type you would like:
*
1 Attendee – BASIC Registration $1200 (reg. $1800)
1 Attendee – Registration w/Educational Pkg. $1450 (reg. $1800 + $350)
2 Attendees/Hospital – BASIC Registration $2000 (reg. $3,000)
2 Attendees/Hospital – Registration w/Educational Pkg. $2500 (reg. $3000 + $700)
Contact Information for 2 Attendees/Hospital Registration
Attendee #1 – First Name
Attendee #1 – Last Name
Attendee #1 – Email
Attendee #2 – First Name
Attendee #2 – Last Name
Attendee #2 – Email
Anything else you'd like to let us know? Any Questions?
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