Raleigh

Trauma Management of Injured Wildlife
Veterinary Continuing Education
WRNC Symposium
REGISTRATION

Jan 31 - Feb 1

We are not equipped to accept payment online. Registration and payment will be by regular mail. Complete and print the form below and then mail it and your check to the address at the bottom of this form.  If you wish to qualify for "early bird" rates, the registration form and payment must be received by the cut-off date of January 12, 2009.

Payment Schedule
 
Rec'd by Jan 12
Rec'd after Jan 12
Registration
$60
$70

Avian bandaging workshop

$15
$15
Turtle shell repair workshop
$15
$15
Name: Degree(s)/Cert.:
Clinic: Mailing Address:
City/Town: State: Zip Code:
Telephone: E-mail Address:
Do you plan to attend the banquet Saturday evening (no additional charge)? Yes    No
Additional banquet guests ($28.00 each)? Yes No    How many?
Do you plan to attend the IceBreaker Friday evening? Yes    No
Check those workshops that you wish to attend:  
Turtle Shell Repair ($15)

Avian Bandaging and Splinting ($15)

Mammal Bandaging and Splinting (no fee)    
 
Please submit one form per person. You may write one check for multiple registrations.
Make checks payable to WRNC. Mail the form(s) and check to

WRNC
c/o Jean Chamberlain
1868 Rierson Rd.
Tobaccoville, NC 27050
Thank You. We look forward to meeting you at the symposium.