Lifetimememberapplication - Minnesota Association of Veterinary Technicians

Lifetimememberapplication

Please apply for MAVT Lifetime Membership here

First Name *		Last Name *
Address Line 1 *
City *		State *
Zip/Postal Code *		Phone number *
Email Address *
What MAVT District are you in? *
MAVT membership start date *
Did you renew your membership on a consecutive annual basis? *	Yes No
School Attended *
Graduation Date *
Credentials *
Current Place of Employment *
Title *
Profession *
Education/ Experience *
Volunteer involvement with MAVT (include dates) *

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