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Get Canada Prince Edward Island Veterinary Medical Association Membership/license Renewal Declaration 2019-2024

201920 MEMBERSHIP/LICENSE RENEWAL DECLARATIONPRINCE EDWARD ISLAND VETERINARY MEDICAL ASSOCIATIONRENEWAL FORLicensed membershipLICENSE TYPE (choose from dropdown) EducationalRegular (nonlicensed) membershipPEIVMA member/license numberAre you CURRENTLY a new PEIVMA member/licensee (applied 24 months ago)?******************************************************************************PERSONAL CONTACT INFORMATIONNamePreferred addressCityProvPostal codePreferred Telephone numberCitizenshipLast 4 digits of S.

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