District
of Columbia Veterinary Medical Association
|
District
of Columbia Veterinary Medical Association
|
| DCVMA DUES PAYMENT FORM |
| Date ___________________ |
| DCVMA dues of $35 are now payable and can be sent to the Treasurer. For a mere $5 more ($40 total), you can register your spouse as a member of the DCVMA Auxiliary. They, like the DCVMA, are always looking forward to welcoming new members. Please use this form for dues payment. |
| Name |
| ________________________________________________________________________________ |
| (Last)
(First)
(M.I.)
Membership Dues $35. |
| Name of spouse |
| ________________________________________________________________________________ |
| (Last)
(First)
(M.I.)
Auxiliary Dues $5. |
| Mailing Address |
| ________________________________________________________________________________ |
| ________________________________________________________________________________ |
| Telephone Number (Home) __________________ (Office) _____________________ |
| Email: ______________________________ |
| Make checks
payable to "District of Columbia Veterinary Medical Association" Mail completed application and payment to: |
|