Executive Board
Past-President
President
Amanda Kolke, RVT, BS
Vice-President/NAVTA Representative
Jessica Arnold
Treasurer/Secretary
Christen Smith
Membership
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OVTA membership APPLICATION

 

 

Contact Information:

Your Full Name *

Address 1 *

Address 2

City *

State *

Zip Code *

Home Phone *

Cell Phone

E-Mail Address *

 

Employment Information:

Employer *

Address 1 *

Address 2

City *

State *

Zip Code *

Work Phone *

 

Type of Employment *

Companion Animal
Mixed Animal
Equine

Food Animal
University
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Education
Other
 

Graduate of:

School
State
Year

 

Are you a Registered Veterinary Technician

Yes      No 

If "yes" please list your OK Registration #

 

Are you a NAVTA Member?

Yes      No

 

May we publish your information in our membership directory?

Yes      No

 

Membership:

Active Member    $26.00

      (Registered Veterinary Technician Residing in Oklahoma)


Associate Membership    $16.00

      (Anyone interested in supporting and promoting the profession)


Student Membership    $6.00

      (Anyone currently enrolled in an AVMA accredited      veterinary technology program)

       

School:    

        Expected Graduation: (M/Y)

 

Payment Method *

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By checking this box, I hereby agree that all information is true and correct to the best of my knowledge.

 

* indicates required information.

 


 


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