IVTA MEMBERSHIP APPLICATION 2008

Last name:

First name:

Maiden: 

Address:

 

City:

State:

Zip:

Area Code

Phone

County

RVT #

Email address? (Please print clearly!)

 

 

Hospital/Employer

Address

 

City:

State:

Zip:

Area Code

Phone

 

       

This year, we ask that you get more involved with the IVTA.  Please choose one or more of the following options or make suggestions as to ways that you would like to help the IVTA remain a strong and viable organization:

 

In 2007, I will:

___  Submit a practice tip to the Newsletter                    ___  Submit an Ask Dr. Wise Article

___  Volunteer for local career day participation and report back to the IVTA!

 

___  Run for office in 2007                                             ___  Other ideas?  Please specify!___________________

 

________________________________________________________________________________________

 

 

Membership status: (check one!)

___ $35  Active In State Member 

___ $35 Active Out of State Member

___ $30 Associate Member

 

Make check or money order payable to:  IVTA

Mail to:  IVTA

21 POINT WEST

WEST LAFAYETTE, IN  47906

1-765-463-2618 OR 765-494-1453

 

Questions?  Contact us!  Indianavta@verizon.net

 

IVTA Membership Categories

(Defined by the constitution)

 

REGISTERED VETERINARY TECHNICIAN (RVT) shall be defined as a person who is currently Registered with the Health Professions Bureau in the State of Indiana. Persons who are not registered as such must consider themselves non-Registered.

 

ACTIVE   IN-STATE membership shall be defined as any Registered Veterinary Technician (Article III. Section II #1) who resides in the State of Indiana. Active members in good standing (Article IV, Section 1, #3) shall also have the right to hold office providing criteria set by the Executive Board are met.

 

ACTIVE OUT-OF-STATE membership shall be defined as any Registered Veterinary Technician (Article III, Section II. #1) who lives outside the state of Indiana. This member has the right to vote and pay dues, but does not have the right to hold office.

 

ASSOCIATE members are Veterinary Technicians who are not registered with the Health Professions Bureau, veterinary hospital employees, veterinarians, and, veterinary clinics. Associate members cannot vote or hold an office in the Association. They will be assessed lower dues than active members.