EmailMeForm
OVTA Membership Application
Please fill in the blanks below to complete your OVTA Membership form, when submitting the form you will be redirected to our online store to complete the payment of your membership. If you have any questions please email us at mail@okvta.org
Name
*
First
MI
Last
Birthday
Email
*
Phone
*
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-
###
-
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Address
*
Street Address
City
State / Province / Region
Postal / Zip Code
Employer
Employer Address
Street Address
City
State / Province / Region
Postal / Zip Code
Type of Employment
Please select
Companion Animal
Mixed Animal
Equine
Food Animal
University
Research
Education
Other
Graduate of: (if you are a studnet please enter school and expected graduation date below)
*
State:
*
Year:
*
Registered
*
Yes
No
Registration # (If you are a student please enter 5 zeros)
*
NAVTA Member
*
Yes
No
May we publish your information in our directory
*
Yes
No
Membership (Membership Expires December 31st)
*
Active Member $42 (Registered Veterinary Technician residing in Oklahoma)
Associate Member $17 (Anyone interested in supporting and promoting the profession)
New Graduate Membership Complementary
Student Membership Complementary (Anyone currently enrolled in an AVMA accredited veterinary technology program)
