Downloading the Registration Form

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1 Downloading the Registration Form There are four types of registration form: Registration Form Courses held in North America Registration Form Courses held in Europe (outside the UK) Registration Form Courses held in the UK Registration From Courses held in Australia, New Zealand and Asia You can select the form you need from the pages below.

2 Registration Form Courses held in the USA and Canada Title: First Name: Last Name: Qualifications: Practice Name: Street: Town/City: Zip/Postcode: State/Province: Country: Work Tel. No.: Cell No.: Fax No.: ( Type of Registration (e.g. student, qualified vet, etc.) Lectures & Practical Sessions Lectures only Please debit the following amount and currency from the account below: M/Card Visa AmEx Diners Club Discover Card Name: Expiry: / Card Number: Signature: Security Code : (usually the last 3 digits on back of card, for AmEx cards: 4 digits on the front) Date: Payment by Bank Transfer: I decide to pay via bank transfer The following amount will be transferred in US Dollars to the VetPD bank account: Bank Details: VetPD US Dollars Account IBAN: GB22MIDL SWIFT: HBUKGB4B ACCOUNT NUMBER: HSBC Bank PLC, Canterbury Whitefriars Branch, Gravel Walk, Canterbury, CT1 2JP, UK Post: VetPD, P.O. Box Lake Mary, FL 32795, USA Fax: or office@vetpd.com

3 Registration Form Courses held in Europe (Outside the UK) Title: First Name: Last Name: Qualifications: Practice Name: Street: Town: Post Code: State/Province: Country: Work Tel. No.: Mobile No.: Fax No.: VAT* (= MWST/MOMS) Number of the Person or Institution paying the Course Fees: * VAT is subject to the general 'Place of Supply' rule with the place of supply being the attendee s country of residence. No VAT will be included in the VetPD invoice of vets from EU (non-uk) countries; the person or institution paying the course fees, however, has to account for VAT under the reverse charge procedure according to EC VAT Directive 2006/112 and to the UK VAT legislation. If the person or institution paying the course fees is based in the UK, and is in business, 20% VAT will apply to the course fees (irrespective of whether they have a VAT number or not). However, if the person paying the course fees is based in the UK but is not in business (i.e. is employed), no VAT will be applied to the VetPD course fees. Type of Registration (e.g. student, qualified vet, BEVA member etc.) Lectures & Practical Sessions Lectures only Please debit the following amount and currency from the account below: MasterCard Visa AmEx Name on Card: Expiry Date: / Card Number: Security Code : (last 3 digits on back of card, for AmEx cards: 4 digits on front) Signature: Date: Payment by Bank Transfer: I decide to pay via bank transfer The following amount and currency will be transferred to the VetPD bank account: Bank Details: For Payments in Euro IBAN: GB53MIDL SWIFT: HBUKGB4B For Payments in SEK IBAN: GB13MIDL SWIFT: HBUKGB4B For Payments in CHF IBAN: GB35MIDL SWIFT: HBUKGB4B For Payments in NOK IBAN: GB60MIDL SWIFT: HBUKGB4B For Payments in DKK IBAN: GB03MIDL SWIFT: HBUKGB4B For Payments in other Currencies IBAN: GB19HBUK SWIFT: HBUKGB4182H HSBC Bank plc, 9 Rose Lane, Canterbury, Kent, CT1 2JP, United Kingdom Post: VetPD, 9 Foxhollow, Bar Hill, Cambridgeshire, CB23 8EP, United Kingdom Fax: 0044 (0) or info@vetpd.com

4 Registration Form Courses held in the UK Title: First Name: Last Name: Qualifications: Practice Name: Street: Town: Post Code: State/Province: Country: Work Tel. No.: Mobile No.: Fax No.: * VAT will be added to all course prices for UK-based and non-uk attendees when attending courses in the UK. Attendees from EU countries can reclaim VAT through the EU VAT Refund Scheme. Type of Registration (e.g. student, qualified vet, BEVA member etc.) Lectures & Practical Sessions Lectures only Course Dinner (only for 2-day courses / not included in the course fee) Please debit the following amount and currency from the account below: MasterCard Visa AmEx Name on Card: Expiry Date: / Card Number: Security Code : (last 3 digits on back of card, for AmEx cards: 4 digits on front) Signature: Date: Payment by Bank Transfer: I decide to pay via bank transfer The following amount will be transferred in British Pounds to the VetPD bank account: Bank Details: VetPD British Pounds Account IBAN: GB19HBUK Sort Code: HSBC Bank PLC, 9 Rose Lane, Canterbury, Kent, CT1 2JP, United Kingdom SWIFT: HBUKGB4182H Account: Post: VetPD, 9 Foxhollow, Bar Hill, Cambridgeshire, CB23 8EP, United Kingdom Fax: 0044 (0) or info@vetpd.com

5 Registration Form Courses held in Australia, New Zealand and Asia Title: First Name: Last Name: Qualifications: Practice Name: Street: Town/City: Zip/Postcode: State/Province: Country: Work Tel. No.: Cell No.: Fax No.: Type of Registration (e.g. student, qualified vet, etc.) Lectures & Practical Sessions Lectures only Where did you hear about the course (e.g. VetPD or letter; website; National Association; sponsor advertising)? Please debit the following amount and currency from the account below: M/Card Visa AmEx Diners Club Discover Card Name: Expiry: / Card Number: Security Code : (usually the last 3 digits on back of card, for AmEx cards: 4 digits on the front) Signature: Date: (OR) Payment by Bank Transfer: I decide to pay via bank transfer The following amount will be transferred in Australian Dollars to the VetPD bank account: Bank Details: VetPD AU Dollars Account For Payments in other Currencies IBAN: GB17MIDL ACCOUNT NUMBER: IBAN: GB19HBUK SWIFT: HBUKGB4B SWIFT: HBUKGB4182H HSBC Bank PLC, Canterbury Whitefriars Branch, Gravel Walk, Canterbury, CT1 2JP, UK Registration fees will be accepted in AUD/NZD through a UK based bank account. Some banks may add fees for international transfers, please check with your own bank as VetPD does not receive and is not responsible for additional bank transfers (see also: Post: VetPD, 56 Curlew Terrace, River Heads, Queensland 4655, Australia admin@vetpd.com

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