ISVMA Illinois State Veterinary Medical Association
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About the ISVMA

2007 Illinois State Veterinary Medical Association (ISVMA) Convention REGISTRATION FORM

convention_logo Please Register One Person Per Form
(except you may add your spouse/guest)

*Veterinarians must register as DVM registrants (i.e. they cannot register as a spouse/guest of another veterinarian.

 

 

 

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Full Name:
(Please enter your name as you wish it to appear on your badge)

Spouse/Guest Name: (if your spouse/guest intends to join you at convention (i.e. wants access to exhibit hall, meals and activities) they must also register and pay the spouse/guest fee.

Business Name:

Address:

City: State: ZIP:

Phone: Fax: Email:

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FOR VETERINARIAN AND CVT REGISTRANTS:

College Name: Year of Graduation:

FOR DVM RECENT GRADUATES:

If you graduated from veterinary college in 2005, 2006 or 2007 you are eligible for discounted registration (50% savings) to attend the ISVMA Annual Convention.

This discount is an acknowledgement on behalf of the members of ISVMA as to the importance of recent graduates supporting organized veterinary medicine through their participation in their state veterinary association.

A fantastic program has been developed just for Recent Graduates at the ISVMA Convention. This "convention within a convention" has been very successful ever since its introduction during the 2005 ISVMA Annual Convention and we hope to see it grow every year!

FOR STUDENTS:

Indicate either: DVM Student Vet-tech Student

College Name: Year of Graduation:

FOR ALL OTHER ATTENDEES (You must answer to have your credentials accurately reflected on your badge and for ISVMA to accurately report attendance by category):

Indicate Either: CVT Vet Asst. Practice Personnel Auxiliary Guest Other

If Other, please specify:

 

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ESSENTIALS: Food Preferences and Special Needs

Your lunches are included in the registration fee; please indicate if you have a preference for one of the following special diets:

vegetarian fish instead of red meat diabetic

Please check this box if you have a disability or limitation that would require special arrangements. We will contact you to discuss accomodations.

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EVENT REGISTRATION AND PAYMENT:

CONVENTION REGISTRATION

*A $25 late fee will be added to any registration postmarked or submitted online after October 22, 2007 and for on-site registrants.

Please Indicate the Days You Will Attend

Early Fee

Expires on October 12, 2007

Standard Fee

(Postmarked or submitted between October 13 - 22, 2007)

   
You must check all applicable fees in the columns below in order to accurately calculate charges.
DVM, ISVMA Member (two or three days)

Fri/Sat
Sat/Sun
Fri/Sat/Sun

$295 $395
DVM, ISVMA Member (one day) Friday
Saturday
Sunday
$195 $295
DVM, Non-Member (two or three days) Fri/Sat
Sat/Sun
Fri/Sat/Sun
$475 $575
DVM, Non-Member (one day) Friday
Saturday
Sunday
$325 $425
Recent Graduate DVM, ISVMA Member (two or three days) Fri/Sat
Sat/Sun
Fri/Sat/Sun
$150 $250
Recent Graduate DVM, ISVMA Member (one day) Friday
Saturday
Sunday
$105 $205
Recent Graduate DVM, Non-Member (two or three days) Fri/Sat
Sat/Sun
Fri/Sat/Sun
$295 $395
Recent Graduate DVM, Non-Member (one day) Friday
Saturday
Sunday
$195 $295
CVT, Veterinary Assistant, Practice Personnel (two or three days) Fri/Sat
Sat/Sun
Fri/Sat/Sun
$155 $255
CVT, Veterinary Assistant, Practice Personnel (one day) Friday
Saturday
Sunday
$105 $205
DVM Student (two or three days) Fri/Sat
Sat/Sun
Fri/Sat/Sun
$0 $50
DVM Student (one day) Friday
Saturday
Sunday
$0 $25
Veterinary Technician Student (two or three days) Fri/Sat
Sat/Sun
Fri/Sat/Sun
$75 $105
Veterinary Technician Student (one day) Friday
Saturday
Sunday
$60 $75
Auxiliary or Guest (two or three days) Fri/Sat
Sat/Sun
Fri/Sat/Sun
$85 $185
Auxiliary or Guest (one day) Friday
Saturday
Sunday
$65 $165
Wet Lab & Intensive Registration
Equine Dentistry Wet Lab
Instructor: Dr. Jack Easley
(DVM Only)
Friday $110 $140
Small Animal Wet Lab
Instructor: Dr. Rolan Tripp
Session Description:
"Puppy Aggression Prevention and Socialization"
Friday $110 $140
Small Animal Wet Lab
Instructor: Dr. Louis Gotthelf
Session Description:
"21st Century Ear Medicine "
Friday $110 $140
Business Practice Intensive - Instructor: Wendy Myers
Session 1 Description:
"Creating Training Plans for Your Team"
Friday $0 $0
Business Practice Intensive - Instructor: Wendy Myers
Session 2 Description:

"What You Need to Know About Reviews, Salaries and Policies"
Friday $0 $0
Complementary & Alternative Medicine Intensive - Instructor: Dr. Robert Silver
Friday $0 $0

 

Special Events: Reservation Required

Please mark all that you wish to attend. There is no charge, but a ticket is required:

President's Reception (Friday evening) I will attend I will not attend

Saturday Evening Social (Saturday evening) I will attend I will not attend

ISVMA Annual Meeting & Breakfast (Sunday morning) I will attend I will not attend


Friday IVERT Training Session: Reservation Required

Indicate here if you plan to attend. There is no charge, but a reservation is required.

*IVERT participants will receive a $75 rebate on the cost of their ISVMA Convention registration. The refund will be paid within 30 days of the conclusion of the convention.

VTAI Business Meeting & Breakfast (Sunday morning)

Indicate here if you plan to attend (tickets $20).

Proceedings Book

*A CD-ROM copy of the Proceedings are included for free in each DVM and CVT registration packet.

Check this box if you wish to purchase a printed copy of the Proceedings ($25).

 

 

Please contact me as soon as possible regarding this registration.

 

 


Illinois State Veterinary Medical Association
1121 Chatham Road
Springfield, IL 62704

Phone: (217) 546-8381

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