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Required fields are marked with an asterisk (*).

First name *

Last name *

Email *

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1. Time Zone

2. Country

4. Language

5. What is your affiliation with AAHA? Individuals associated with an AAHA Accredited Practice, Pre-Accredited & Active Individual Members - Select "AAHA Member". Otherwise, select "Non-Member."

6. What is your current role in veterinary medicine?

7. License Number(s) for DVMs & Veterinary Technicians? If you do not have a license, enter N/A.

8. State(s) abbreviation(s) of Licensure for DVMs & Veterinary Technicians? If you do not have a license, enter N/A.

9. AAHA membership is linked to an accredited practice, enter the name of the practice.

To sign up to application press button with label "Sign Up".