AAFSV Membership Application

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I desire to become a member of the American Association of Food Safety Veterinarians and enclose payment of dues for the year 20___.

Name
Mailing Address


Organization

Employment Location

Position, Grade, or Rank

Veterinary Degree (date and institution)

Other Degrees/Board Certification/Specialty

Are you a member of the AVMA? ( ) Yes ( ) No
Membership in Other Professional Organizations


Signature

Date

Email address

Submit completed application to:
Dr. Rex D. Holt
Executive Vice President
American Association of Food Safety Veterinarians
PO Box 550
Hoschton GA 30548-0550

Annual dues are $45.00 (US, Canada & Mexico), $55.00 other international. New members paying their initial dues during the last quarter of the year are credited with dues payment for the next calendar year. AAFSV dues may be deductible on federal income tax returns as business expenses, but are not deductible as charitable contributions. (Members should refer to most recent laws regarding federal income tax deductions.)

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