Texas Equine Veterinary Association

SYMPOSIUM REGISTRATION: Brought to you by the Texas Equine Veterinary Association • Register Online at: www.texasequineva.com Name_________________________________________________ Clinic, University, or Company Name________________________________________________ Address_______________________________________________________City____________________________________State________Zip________________ Phone_____________________________________Cell_____________________________________Email_____________________________________________ 2019 Summer CE Symposium REGISTRATION FORM Horseshoe Bay Resort | Marble Falls, Texas AUGUST 8-10 19 CE Hours! REGISTRATION AND A FULL SCHEDULE ALSO AVAILABLE AT WWW.TEXASEQUINEVA.COM PLEASE BOOK YOUR ROOM BY JULY 15 TO RECEIVE THE "Texas Equine Veterinary Association" Group rate of $194. *Discounted room rates are available for the entire week of the meeting. You may book online at www.hsbresort.com or by calling 877-624-6034. Registrations and/or Membership Applications may be completed online at www.texasequineva.com, mailed, texted or phoned in. PLEASE MAIL TO: PO Box 11779, El Dorado, AR 71730 | 806-673-1987 CREDIT CARD TYPE:______________#_______________________________________________________________________EXP DATE__________________ NAME ON CARD________________________________________________________CCV:_____________-_____BILLING ZIP CODE______________________ Description Qty Price Total 1) Technicians Wet Lab: Saturday August 10 ____@ $0 In-Depth, Hands On, Limited Space Available. MUST REGISTER ABOVE - fee is included in Technician Registration. 2) Thursday Morning Golf Tournament Location: APPLE ROCK GOLF COURSE ____@ $150 *Teams of four will be assigned 3) Thursday Morning Fishing Tournament | Location: HSB Marina ____@ $150 *Teams of four will be assigned 4) Friday Night FOUNDATION GALA Dinner and Dance - Featuring Jake Hooker and the Outsiders - Spouses and Guests Welcome! Veterinarian and Guest Tickets ____@ $50 Children's Tickets - 10-18 years old (10 & Under are free) ____@ $20 5) Extra Friday Lunch Tickets ____@ $20 6) Extra Saturday Lunch Tickets ____@ $20 7) Friday Platinum Practice Sponsors Breakfast *First Person from a Platinum Practice is Free. Only Platinum Practice Sponsors representatives may attend. ____@ $25 Add Late Fee After July 15 of $50 TOTAL DUE: $ Description Qty Price Total -PLEASE CHOOSE ONE OF THE FOLLOWING- Registration Covers: Materials, Speaker fees, opening reception, 1 Friday lunch ticket and 1 Saturday lunch ticket and all breaks. 1) FIRST TIME TEVA ATTENDEES - Free One-Year TEVA Membership with Meeting Registration (Valued at $645) ____@ $350 2) TEVA LOYAL MEMBER REGISTRATION (If you have attended 5 of our Symposiums, you are eligible for this discounted meeting registration rate) ____@ $299 3) REGULAR SYMPOSIUM REGISTRATION 2019 Membership Required ____@ $350 4) SENIOR AND RETIRED REGISTRATION Over 65 or retired from full-time practice 2019 Membership Required ____@ $150 5) VETERINARY STUDENT REGISTRATION 2019 Membership Required ____@ $50 6) TECHNICIAN REGISTRATIONS: 1st Technician Registration with a Veterinarian Registration 1st Technician Name:______________________________ 1st Technician Email or Phone:_______________________ $75 7) VETERINARY TECHNICIAN REGISTRATION (without a veterinarian's registration) ____@ $100 Continue on next column ADD ONS:

• Cover