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ASCEND 2016 CVMA SPRING SEMINAR REGISTRA Use a separate form for each registrant This form needs to be completed and sent to the CVMA office. Cvma.net Registration Fees Postmarked or received by December 8 2015 CVMA Members Nonmembers NAME ADDRESS CITY STATE ZIP DAYTIME PHONE FAX EMAIL I am enclosing a check payable to CVMA in the amount of Please submit copy of registration form with check payment Please charge my credit card MasterCard Visa AMEX or Discover only CREDIT CARD EXPIRATION DATE...
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