Continuing Education Evening with Melanie Browning, BSc RVT RLAT Please complete this form and fax it to the MAHTA office 204-896-6756 or scan and email it to: mahta@mts.net. One form per registrant. Registrant Name: Email Address: Phone Number: Employer: Payment Type: [ Credit Card Number: Card Holders Signature: ] Cheque [ ] Credit Card Amount: $ Expiration Date: Month Year Event Details: PetPlan, in partnership with the Manitoba Animal Health Technologists Association, are pleased to invite you to an informative evening of continuing education with special guest Melanie Browning, MSc RVT RLAT discussing Bite Protection and Dog Body Language Date: Time: Tuesday, March 24, 2015 Registration and light supper from 6:00-7:00 Lecture from 7:00-8:30 Location: Red River College – 2055 Notre Dame Avenue in the Black Lecture Hall Cost: AHT Students - $10.00 Technologists - $15.00 Payment: Cheque or Credit Card Parking: $2.00 (not included in cost) Deadline for Registration: Wednesday, March 18, 2015 Note: Cancellation available up to 5 days prior to the event for full refund. Office Use Only: Date Processed: Authorization Number: Received by:
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