SafetyVet

Solutions for the veterinary professions!

* = Required Information.  We promise to keep this information private and NEVER release it to third parties...ever!

Title:   Choose Mr. Ms. Dr. Mrs. Miss

*First Name: 

*Last Name:     Suffix (e.g., Jr., CVT, CVPM, etc):

Hospital (or Business) Name:   

*Address:             

Note: UPS is unable to deliver to PO Boxes, so please provide a physical address.

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*City:        *State:      

*Zip/Postal Code:   

*E-mail Address:    *Phone:

Publications
Quantity	Product	Price (US)
	The Complete Veterinary Practice Regulatory Compliance Manual (5th Edition) (includes 1 copy of Safety Issues for the Veterinary Hospital Staff)	$55.00

In order to receive this special pricing, you must provide the password given to you by your instructor

Comments or special instructions:

A $7.50 shipping charge is added to all orders in the US and $15.00 for orders to Canada.
(No shipping charge for subscriptions to The Digest).
Orders are shipped via UPS Ground or US Priority Mail.

Payment Information

Note: If you would like to pay by check, print this form along with your check made payable to "SafetyVet" and send them to SafetyVet, 1550 Athens Rd, Calhoun, TN  37309.  We will also accept orders over the telephone at (423) 336-1925.

Type of Card  Card Type Visa MasterCard     Card Number     Expiration Date: Month 01 02 03 04 05 06 07 08 09 10 11 12 / Year 2008 2009 2010 2011 2012 2013 2014 2015

Name as it appears on the card:

3-Digit Security Code from rear of card:

Street address where the credit card statements are mailed (city/state not required):
  Zip/Postal Code: