Wisconsin Veterinary Technician Association
Name:
Address:
City/State:
Zip Code:
County:
Phone:
email:
Employer:
Work Address:
City/State:
Zip:
County:
Work Phone:
Type of Employement:
WI State Certified?
Year Certified
College attended/graduation:
Member information will be sent via mail for membership renewal in the fall. The WVTA membership year runs from November 1st thru October 31st. Forms must be received before Jan. 1, 2010 to be reflected in the 2010 membership directory. Thank You.
Please fill out the 2010 Online Membership Application below and click submit to pay on the next page via PayPal.
