AO ASIF Veterinary Course Registration Form

May 20 - 23, 1999
Columbus, Ohio

Please complete this form in it's entirety to register.

You have the option to print this form, complete and return to:

AO ASIF Continuing Education
Mrs. Rita Remy
College of Veterinary Medicine
1900 Coffey Road
Columbus, OH 43210-1092

or you can complete this form and submit online using a credit card:

Course Name:


Name:


Mailing address:

Daytime Phone:

Fax Number:

Social Security Number:

Please select one:
Basic Canine
Advanced Canine
Basic Equine
Advanced Equine
Please select one:
If you need further assistance, please email delonel@aona.com

Payment method:

Exp. Date: Card Number:
Signature (if mailing or faxing form):
Do you have any special needs:

Please press this button
to submit your registration form:

Thank you.