AVI

Association for Veterinary Informatics
1590 Augusta Ct. Dixon, CA 95620
Phone:(530)752-4408, FAX (530)752-5680

Dr. James V. Schoster, President
Dr. Robin M. Starr-Chichester, Immediate Past President
Dr. James T. Case, Secretary/Treasurer
Dr. Ronald D. Smith, Newsletter Editor

1999 ONLINE APPLICATION FOR MEMBERSHIP

Date :
Name :
E-Mail :
Company :
Address 1 :
Address 2 :
City :
State :
Postal Code :
Country :
Phone :
Fax :
Membership # (for Renewals) :
Current Practice Type or Occupation:
Current Interest or Involvement in Veterinary Computing:

MEMBERSHIP LEVEL DESCRIPTIONS (CHOOSE BELOW):

Level Qualification Rights
Full Individuals interested in the field of veterinary informatics Dues $35; Full voting rights;receipt of newsletter; eligible for membership on standing committees; participation in Working Groups.
Associate Individuals who support the mission and goals of the Society Dues $20; No voting rights; receipt of newsletter; not eligible for membership on standing committees; participation in Working Groups. Limited to two years.
Corporate Corporations that support the goals of the Society. Dues $100; Full voting rights (one per corporation); receipt of newsletter; not eligible for membership on standing committees; participation in Working Groups.
Student Students enrolled in any academic program who are interested in the field of veterinary informatics Dues $20; No voting rights; receipt of newsletter; not eligible for membership on standing committees; participation in Working Groups

Choose Membership Level (from table above):

Choose Type of Application:

Choose Desired Newsletter Format:

Membership includes participation in one Working Group. Please select from the list below:

Working Groups:

Your Comments: Please type text below, making sure it fits in the box!

Note:

Membership runs from January 1, 1999 until December 31, 1999. Dues are payable on January 1, 1999.

Make Check Payable to:

Association for Veterinary Informatics

Mail Dues to:

Dr. James T. Case
Secretary/Treasurer, AVI
1590 Augusta Ct.
Dixon, CA 95620
Email: jcase@cvdls.ucdavis.edu

Return to:

AVI