Vet U - 01/29/13 - Springfield, IL

PLEASE NOTE: You are invited to bring information or questions regarding specific cases that can be discussed by the group at the end of Dr. Garrett's presentation.

1. Yes! I plan to attend the Vet U Session on January 29, 2013 in Springfield!
My name is:

Yes! I plan to attend the Vet U Session on January 29, 2013 in Springfield! My name is:

2. I am an Illinois DVM graduate from the Class of:

I am an Illinois DVM graduate from the Class of:

3. Business Information:

Business Information: Business Name:
Business Address:
Business City, State, Zip:

4. Email Address (your CE certificate will be sent to this address):

Email Address (your CE certificate will be sent to this address):

5. License Number:

License Number:

6. State of License Issue:

State of License Issue: