ACVIM 2017 - KindredBio

To help us plan the event, we’d like to get a little information about you and any guest who may accompany you.

Name*
First Last
Date of arrival*
Time of arrival*

: HH

MM
Best contact number at the conference*
If we need to contact you at the conference, what is the best phone number for us to do so?
Will you be staying at the Gaylord National Resort & Convention Center?*
- Yes
- No
Any dietary restrictions we should know about?
What shirt/jacket size do you wear?
Will you be bringing a guest with you to the welcome dinner?*
- Yes
- No
Guest Name
First Last
If your guest will be attending dinner, please provide their name.
Guest dietary restrictions
If your guest is attending the welcome dinner, please provide any dietary restrictions.
Is there any other information you would like to share to help us plan the event?
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