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Join or Renew

New and Renewal Memberships

AACPPV offers online method of joining or renewing your membership in AACPPV.

You can complete your application form and pay online (using PayPal to submit your $100.00 membership dues)

To pay online, click on the PayPal “Buy Now” button and complete the information that will transmit your payment. If you are a PayPal member, login to make your payment. If you are not a PayPal member, scroll down to select the “pay by credit card” option.

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NEW MEMBERSHIP

AACPPV Member Dues:

Username / Email:*

First Name:*

Last Name:*

Suffix(DVM,VMD,etc):*

Position Title:

Employer:*

Address Line1:*

Address Line2:

City:*

State/Province:*

Country:*

Postal Code:*

Telephone:*

Ext:

Fax:

Mobilephone:

PREFERRED ADDRESS FOR AACPPV MAILINGS:

Check here if same as above.

Address Line1:*

Address Line2:

City:*

State/Province:*

Country:*

Postal Code:*

Telephone:*

E-mail Address:*

VETERINARY SCHOOL/DEGREE/CERTIFICATION INFORMATION:

Graduate:

Year / School:*

Degree(s):*

AVMA Member:

Yes No

EMPLOYER TYPE:*
Animal Health	Government Agency	Pet Nutrition
Academia	Self Employed	Ag Chemical
Feed Manufacturer	Contract Testing Lab
Other:

PROFESSIONAL ACTIVITY:*
Product Technical Support	Consulting	Animal Production
Marketing	Regulatory Affairs	New Product Development
Clinical Research	Sales	Management
Other:

* Marked fields are mandatory.

Questions? Call 916-726-1560, fax to 916-722-8149 or email us at info@aacppv.org


© 2007 - All Rights Reserved \| AACPPV	American Association of Corporate and Public Practice Veterinarians 6060 Sunrise Vista Drive, Suite 1300 Citrus Heights, CA 95610 USA	Phone: 1-916-726-1560 Fax : 1-916-722-8849 Email: info@aacppv.org