BSVTA membership is open to technicians, assistants, receptionists, and any other veterinary professionals.
Membership fee $25
Due by November 1st
If you did not recieve a membership application and are interested in joining please send the following:
$25 membership fee
Name, title
address
phone
(please identify if the information is your home or work)
To the following address:
BSVTA
Box 286
Livingston, MT 59047
Application for Membership – 2008
(Membership runs from November 1st to October 31st)
Membership Category:
Active (open to all certified, registered, or licensed persons & graduates of AVMA accredited programs.)
Associate (open to all persons interested in supporting and promoting the Association; assistants, students and on the job trained personnel.)
Please fill out completely
Date ___________
Name: __________________________________________
Home Address: ____________________________________
City: _____________________ St: _____ Zip: __________
Home Phone: _______________ E-Mail: ________________
Place of Employment: ________________________________
Address: _________________________________________
City: _____________________ St: _____ Zip: __________
Work Phone: __________________ Fax: ________________
Renewal Membership
New Membership (please provide the following information)
School information:
School attended: _________________________ Year graduated: _____
License information:
Licensed Certified Registered
Issuing State: ______________ License Number: ____________
Membership Dues are $25
Must be postmarked by October 31st or pay a late fee of $5
Make Check Payable to
BIG SKY VETERINARY TECHNICIAN ASSOCIATION
Mail to:
Marcia Cantrell, CVT
PO Box 286
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