ARC Regional WEST 2024
Identification as it appears on your travel document
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First name
Middle name
Last name
Date of birth
(Required)
MM slash DD slash YYYY
Gender
(Required)
Select
Male
Female
Undisclosed
Unspecified
Email
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Phone number
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Clinic name
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Your Territory Manager
Select
Flint Lucas
John Stephen
Penny Steffen
Shane Jahnke
Please indicate your food allergies
License number
This number will appear on your participation certificate
R.A.C.E. Certifications approved for continuing education.
I will attend the event on the following dates:
August 7th to 9th - Whole event (including 2 hotel nights, CE day & activity day)
August 8th - Continuing education day only
Activity
Please select your preferred activity for August 9th
Please Select
Sturgeon fishing on a jet boat (4 persons per boat)
Hotel Heated pools & Spa
I need to head home early so I will have to very sadly miss out on the activities
Travel Arrangements
Do you want us to book your flights?
(Required)
Please select
Yes, please
No, Thank you
If yes, what are you prefered travelling hours on August 7th?
Between 5AM and 12PM
12PM and 5PM
5PM and 12AM (You will not be able to attend the welcome dinner)
If yes, what are you prefered travelling hours on August 9th?
Between 5AM and 12PM (you will not be able to go fishing)
12PM and 5PM (you will not be able to go fishing)
5PM and 12AM
Which Airport is closer to your departure point?
Areroplan Number
Any requirements for the flights? (seat location, etc..)
Questions?
Email
This field is for validation purposes and should be left unchanged.
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Vetoquinol Canada Education