Membership Renewal : The New Brunswick Veterinary Medical Association

Name of Member*

First Middle Last

Name of clinic or employer*

If you work in a clinic setting, please state if you are an owner or associate*

Mailing Address*

Phone Number*

Fax Number*

Email*

Clinic Website

Discipline

Please state your language of choice*

Continuing Education*

Please list the number of physical CE hours, online CE hours, the number of journal subscriptions, and the number of newly purchased textbooks.

Membership Type*

NBVMA ($497.76 + HST) + CVMA ($312.00 + HST) + Service Fee ($10.00)= $941.22
Non-Resident member: NBVMA ($497.76+HST) + Service Fee ($10.00) = $582.42
Fully Retired Member: NBVMA ($25.00+HST) + Half CVMA ($156.00+HST) + Service Fee ($10.00)= $218.15

Agreement*

Name

This field is for validation purposes and should be left unchanged.