Please take a few moments to fill out our registration form. This information is necessary so we know how to contact you when suppliers want to get your opinion on key veterinary industry issues. In exchange, you'll get the latest professional marketing, promotion, publicity and public relations tips to grow your practice. Fields marked with an asterisk (*) are required.

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Which of the following best describes where you work? (Check all that apply.)

Small animal exclusive
Feline exclusive
Small animal and non-domestic
Non-domestic animal exclusive
Mixed – mostly small
Mixed – mostly large
Mixed – 50/50
Equine
Food animal
Large animal
Teaching or research
Military
Federal, state or local government
Industry
Other (specify)




Which of the following best describes your role in the practice or organization?





How many years have you been in veterinary practice?



Are you board certified in any of the following areas? (Check all that apply.)

None
 Anesthesiology
 Animal Behavior
Dentistry
Dermatology
Emergency and Critical Care
Internal Medicine
Internal Medicine – Cardiology
 Internal Medicine – Neurology
 Internal Medicine – Oncology
 Laboratory Animal Medicine
Microbiology
Nutrition
Ophthalmology
Pathology
Pharmacology
Poultry
 Practitioner – Avian
Practitioner – Food Animal
Practitioner – Canine and Feline
Practitioner – Dairy
Practitioner – Equine
Practitioner – Feline Exclusive
Practitioner – Swine Health Management
Surgery
Theriogenology
Toxicology
 Zoological Medicine

Which of the following veterinary meetings have you attended within the past three years?
(Check all that apply.)

None
American Animal Hospital Association Annual Meeting
American Association of Bovine Practitioners Annual Conference
American Association of Equine Practitioners Annual Meeting
 American College of Veterinary Internal Medicine Forum
American Veterinary Medical Association Annual Conference
North American Veterinary Conference
Western Veterinary Conference

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