MEETING REGISTRATION: Portland, OR
                           October 17th-October 20th 2012
  2012 VOTS MEETING REGISTRATION FEES: $175.00 (if paid by 8/31/12), $225 (if paid after 9/1/12).
                     MEETING REGISTRATION DEADLINE IS 10/1/12.

  The VOTS annual meeting held in conjunction with the ACVO annual meeting is only available to VOTS
members. Lectures will be held on Thursday and Friday from approximately 8a-5p for ~16 hours of CE credits.
 The meeting registration form and fee along with the membership form and fee must be received prior to the
  meeting registration deadline to guarantee your spot will be reserved. The meeting registration fee can be
 combined with your membership registration fees. All VOTS fees must be paid with a check drawn on a US
                 Bank or with an international money order payable to VOTS in US funds.

Last Name: ______________________ First Name: __________________ CVT __ RVT __LVT __AHT __
     Business Name: __________________________________________________________________
      Business Address:________________________________________________________________
           City: __________________________State: _________________Zip Code: ________
           Business Phone: __________________ext .________Fax:_______________________
           E-mail Address: ________________________________________________________

  The members of VOTS are also invited to the ACVO’s Evening Gala at the Oregon Museum of Science and
   Industry on Friday, Oct. 19th. The event will take place approximately from 6:30p-9p. Tickets include group
transportation (5 minute transfer) to OMSI, admission, heavy appetizers and drinks. Payment for the tickets may
  be combined with the meeting dues and must be sent to the treasurer before 9/1/12. Please mark below if you
                                   and any guests would like to attend the gala.
                                     Adult Tickets: $80 # of tickets _____
                Children’s Tickets : (ages 3-12) $30 (Limit of 4 tickets). # of tickets _____
                                       (under 3) FREE # of tickets _____

Checks/money orders in US funds are payable to: Veterinary Ophthalmic Technician Society
Please mail completed form and fees to:         Tina Perkins, CVT
                                                14202 N Scottsdale Rd Ste 157. Scottsdale, AZ 85254

Treasurer use only:
       Date received_________         Check number__________               Check amount__________

                    Date deposited__________             Date receipt emailed__________

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