RENEW MEMBERSHIP

Please update any information that has changed or is inaccurate. You may pay securely by credit/debit card at the bottom.

If you need an invoice for your dues or your membership will be paid for as part of a group, please do not complete this form. Instead, please click here to request one.

Prefix

First Name

Last Name

Suffix

Email

This is the email address associated with your current membership. If you no longer have access to this email address, notify us at pvma@portlandvma.org so that we can administratively update your record.

HOME CONTACT INFO

Street Address

City

State

Postal code

Mobile Phone

EDUCATION & EMPLOYMENT

Other Credentials, Specify

Veterinary School

Year of Graduation

License Number

Current Employer/Practice

Employer Street Address

Employer City

Employer State

Employer Zip Code

Employer Phone

Renewal Type:

Choose the PVMA membership level that fits your current work setting.

Payment *

Membership: Veterinarian Renewal (One Year)

$295

Membership: Academic & Research Veterinarian (One Year)

$160

Membership: Veterinarian- Retired (One year)

This membership category is intended for those member veterinarians who have retired, but do not meet the eligibility requirements for emeritus honorary membership: 35 years a member AND retired

$65