Certification
Please Tell us about your certification: TYPE OF CERTIFICATION Anatomic Clinical YEAR OF CERTIFICATION IF DUAL CERTIFIED, PLEASE PROVIDE INFORMATION ON SECOND CERTIFICATION: Anatomic Clinical YEAR OF CERTIFICATION FIELD OF WORK/EXPERTISE Toxicologic Pathology OTHER COMMENTS
PRIMARY EMPLOYMENT TYPE
Academia State Government Uniform Services Private Practice	Industry Federal Government Private Diagnostis Lab Other
PLEASE LIST YOUR DEGREE(S)

 

Membership

MEMBER TYPE * -- Select -- Regular - $200.00 Emeritus - $0 Honorary - $0 Emeritus with Journal - $55.00 Emeritus and Honorary Members of the ACVP do not pay dues but have privileges of membership, including quarterly issues of the ACVP Newsletter, the annual Membership Directory, and discounted registration fee for the Annual Meeting. All Emeritus and Honorary Members receive complimentary access to the online version of the journal Veterinary Pathology. Honorary Members also receive a complimentary subscription to the printed version of Veterinary Pathology, and Emeritus Members have the option of subscribing to the print version of Veterinary Pathology at the discounted rate of $55.00. Emeritus membership is not affected if you choose not to subscribe. If you would like to subscribe to the Journal in 2004, indicate by selecting the appropriate choice above. CONTRIBUTE TO THE ENDOWMENT FUND Your commitment is needed to build on the rich heritage of the College, enabling us to grow and prosper. -- Select -- $25.00 $50.00 $100.00 $500.00 Other SCHOLARSHIP CONTRIBUTIONS VOLUNTARY CONTRIBUTION TO THE GENERAL SCHOLARSHIP FUND FOR EXTERNSHIPS AND INTERNSHIPS -- Select -- $25.00 $50.00 $100.00 $500.00 Other CASEY SCHOLARSHIP CONTRIBUTIONS VOLUNTARY CONTRIBUTION TO THE CASEY MEMORIAL SCHOLARSHIP -- Select -- $25.00 $50.00 $100.00 $500.00 Other

 

Payment Information

CREDIT CARD TYPE -- Select -- Visa MasterCard American Express EXPIRATION DATE (MM/YYYY) CREDIT CARD NUMBER CARDHOLDER'S NAME Payment must be received before January 31 2004 to ensure your correct listing in the 2004 Membership Directory. Failure to pay dues by this date will terminate subscriptions to College publications. ACVP no longer requires a $200 reinstatement fee for lapsed members wishing to renew. However, please note, members who renew after the January 31 deadline: cannot be guaranteed a listing in the annual membership directory. will be excluded from the regular membership mailing of Veterinary Pathology. If issues are missed due to late renewal, ACVP will no longer provide back issues. However, back issues will almost always be available for a separate cost through Allen Press.