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PRACTICE REGISTRATION FORM
How many practicing DVMs do you have?
1
2-4
5-10
10+
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How many active clients do you have?
0-999
1,000-2,999
3,000-4,999
5,000 +
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Which Membership Type Would You Like? (Choose One)
Standard Subscription (Monthly Fee + 5% per visit processing fee)
Premium Subscription (Monthly Fee + 5% per visit processing fee)
Pay-As-You-Earn ($0 Monthly + 30% per visit processing fee)
Please check if you are an MVMA or VHA member
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Questions?
Please call us at 612-750-4239 or email
hello@virtuwoof.com