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 1^st to October 31^st)

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 31^st or pay a late fee of $5

Make Check Payable to

BIG SKY VETERINARY TECHNICIAN ASSOCIATION

Mail to:

Marcia Cantrell, CVT

PO Box 286