VECCS - 2010 Spring Symposium at Puerto Vallarta, Mexico on April 14-18, 2010
 
  VECCS 2010 Spring SymposiumClick for more information
 
Part A: Scientific Program Registration
* Salutation:
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  * First Name:

A value is required.		 MI:
 * Last Name:

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  * Practice Name:

A value is required.		 * Emergency Clinic:
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  * Address:

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* City:

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  * State:

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  * Country:

A value is required.		 *Day Phone: (w/area code)

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  Fax:
 * Email:

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  Companion/Guest Name(s):
 * Choose your T-shirt size:

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  * Gender:
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  One Complimentary Companion Badge issued per scientific program registrant. please complete PART C to Purchase additional companion badges.
 
REGISTRATION FEE - SCIENTIFIC PROGRAM
Registrant On/Before
12/30/09		 Between
12/30/09 & 3/01/10		 After
3/01/10
Veterinarians (Incl, MD,RN, Etc.) $395 $445 $495
Techs, Interns, Residents $340 $390 $425
 
* Select the one that applies:
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Cancellation Fees:
Before December 30, 2009 - $50.00 fee
December 30, 2009 - March 1 ,2010 - $100.00
After March 1, 2010 - No refund
Part B: VECCS Membership
  To be eligible to register for the VECCS 2010 Spring Symposium you must be a member in good standing at the time of registration. If you are not a member and would like to be, we will contact you and have you fill out a membership form.
  * Are you a member of VECCS?
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Part C: Companion Badges
  A Badge is required for each person 12 years or older to attend all social functions and to enter the Exhibit Hall. $50.00 for adults - $30.00 for children. Additional companion badge for child is $20.00.
  Additional Badges needed?
  Name for badge:
 Adult or Child:
  Name for badge:
 Adult or Child:
  Name for badge:
 Adult or Child:
  On Site Fee for Companion Badge is: $60/Adult and $30/Child
Part D: Airline Travel Reservation
  Every effort will be made to obtain the least expensive and most convenient itinerary for you. Our travel Agent (AJ Travel) has contracts for this meeting with CONTINENTAL and AMERICAN AIRLINES plus several TOUR CMPANIES. Please complete this Travel Request. (You will be contacted with proposed itinerary,
  * 1st Passenger Name:
(Name as it appears on your passport)
A value is required.
  * 1st Passenger Date of Birth: A value is required.
  2nd Passenger Name
  2nd Passenger Date of Birth
  * Total Passengers:
A value is required.
  * Departure City:
A value is required.
  * Departure Date:
A value is required.
  * Return Date:
A value is required.
  Seat Preference:
  Frequent Flyer Airline:
 Frequent Flyer #:
  Note: Credit Card authorization or check payments must be received before reservations and airfare can be secured. All airfare payments are subject to airline cancellation fees.
  * Rental car information requested:
Please select an item.
  Rental Car type:
Hotel Package Includes
  Five (5) nights April 14th-19th at the Marriott CasaMagna Resort & Spa, including hotel taxes, housekeeping, convention services, exercise facility, and baggage handling.

VECCS 2010 Spring Symposium Puerto Vallarta Meeting

IMPORTANT HOTEL INFORMATION

To attend the VECCS Spring Symposium, we must request that you utilize our booking service, AJ Travel as indicated. VECCS has signed a contract with the Marriott Casa Magna guaranteeing utilization of set number of rooms; rooms booked through discount brokers however are not credited to the VECCS account. If VECCS does not meet the obligations of this contact with Marriott, there will a substantial financial penalty (cost) to VECCS. By meeting our contract with Marriott, they in turn provide amenities for the meeting such as the meeting space, discounted food and beverage, etc. which benefits all attendees. Our agents will assist you also if you will be using rewards or points for your hotel/travel.

We thank you for your cooperation.
Dr. Gary Stamp
VECCS
  Hotel Reservations

Run of House Ocean View Rooms
Single – $876.00
Double – $440.50 per person or $881 for two people

Additional nights - Single/Double per night $175.20
  A one night deposit will be charged by the VECCS Booking Agent (AJ Travel) at the time of booking. FINAL Payment will be charged to your credit card on file on March 1, 2010 by VECCS Booking Agent, RATES ARE SUBJECT TO CHANGE UNTIL PAID IN FULL.
  Additional Information Requested
Room Type Requested (subject to availability)
  King Double
  Smoking Non-smoking
  Sharing room with:
  * Arrival Date:
A value is required.
  * Departure Date:
A value is required.
  Hotel Cancellation Fees:
December 30, 2009 - March 1, 2010 - 1 night’s room charge
After March 1, 2010 - No Refund

The fee for not staying at the Marriott CasaMagna Hotel again this year is $175.00.
  Check if you are not staying at the Marriott CasaMagna Hotel
Payment Information
  Payment Method:
  Credit Card Number:  
  Expiration Date:
  If you do not wish to put your credit card number on the form we will contact you regarding your choice of payment.
  Please be sure all information is correct before submitting