Vet / Tech Registration Veterinarian & Technician Registration FormPlease enable JavaScript in your browser to complete this form.Name *FirstLastEmail *PhoneUsername *Membership Type *VeterinarianCertified/Licensed/Registered TechnicianVeterinary AssistantLicense Number(s)Please list all active and inactive licenses.Upload Resume * Click or drag a file to this area to upload. Location (Zip Code)Please list your Billing RateThis must be a flat rate for your services, not an hourly rate. Feel Free to break down however you'd like. i.e. full day, half day, etc.MessageSubmit