2011-2012 NMVMA Dues Statement

We are currently not accepting credit card information for Dues payments over the internet. Please fill this form out, print it and either fax or mail it. No information can be retrieved from this form over the internet.

Regular Member ($165)
(Any graduate of a college of Veterinary Medicine accredited by the AVMA who is (a)
actively engaged in the Veterinary Medical Profession in NM, or (b) licensed in NM or
(c) a resident of NM practicing in an adjacent state, or (d) a NM resident veterinarian
on active duty in the U.S. military.)

Non-Resident Member ($82.50)
(Any graduate veterinarian not qualified for regular membership in the NMVMA may be admitted
as a Non-Resident member. Non-Resident members shall not be entitled to vote or to hold
office, but shall enjoy all other privileges of NMVMA membership.)

Retired Member ($132)
(Any NMVMA member who has been a regular member of the association for at
least 10 years and has reached the age of 65 is eligible for Retired Member
status or any graduate veterinarian who has been a regular member of his or her
respective state organization for at least 10 years, is age 65 or older, and relocates to NM.)

Distinguished Lifetime Member (no fee)
(Applicable only with prior Executive Board approval)

2011 New Graduate (no fee first year)

2010 Graduate ($82.50)

Contribution to Scholarship Foundation
CSU CNM (RVT) UNM Pre-Veterinary Student

KSU San Juan College (RVT) No Preference

Honoree
        (Name of person, animal or occasion. Include name and address of person to notify of your gift.)

Total
(This is not a self-calculating form - Please enter amount)

MC VISA AmExp

Credit Card # Expires
(Visa, Mastercard and American Express accepted)

Signature for Credit Card

Please return by August 15th, 2011 to be included in the NMVMA Directory!

Fax or mail to:
Tamara Spooner
60 Placitas Trails Road
Placitas, NM 87043
Fax: 505.771.8963