Veterinary Group Membership

YOUR Full Name *

YOUR Email *

Practice Name (Business Name) *

Practice Street Address

Practice City

Practice State

Practice Zip Code

MDVMA Region where practice is located *

Region 1 (Garrett-Allegany-Washington-Frederick)

Region 2 (Carroll-Baltimore-Harford-Cecil)

Region 3 (Montgomery-Howard-Anne Arundel)

Region 4 (Prince Georges-Charles-Calvert-St. Marys)

Region 5 (Kent-Queen Annes-Talbot-Caroline-Dorchester-Wicomico-Somerset-Worcester)

Practice Manager (Full Name) *

Practice Manager Email *

Practice Phone *

Preferred Method of Contact *

Phone

Either

Number of Veterinarians in Your Group

HOW TO GET THE MULTI-VETERINARIAN DISCOUNT:
In the payment section below, check the box to choose the Group Membership. Leave the quantity at 1. Click the "bubble" with the number of your veterinarians. This will automatically calculate a discount rate.

If you have more than 20 veterinarians in your practice, please contact Member Services at info@mdvma.org for pricing.

Payment Info *

Group Practice - Multiple Veterinarians

$520

After you click the Submit button, you will be taken to a page where you will tell us who the veterinarians are in your group. Providing these details will allow us to send them their login credentials for MDVMA benefits.