Wilderness CE Series: Pack Trip Registration Form June 27

Pack Trip Registration Form
Please complete this form to begin the registration process for our Wilderness CE Series: Pack Trip experience, taking place from June 27 – July 2, 2023. Upon submitting this form, your RSVP will be complete and within 24-hours you will receive a digital invoice from Blue Heron Consulting. Your registration is not complete until your invoice has been paid in full.

For questions or concerns about registration, please email Dr. Erin Keiser at ekeiserdvm@bhcteam.com.
SECTION 1: ABOUT YOU
First Name*
Last Name*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
I am a*
What are you looking forward to most about this trip?
SECTION 2: ABOUT YOUR PRACTICE
Hospital Name
Hospital Location (City, State)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
SECTION 3: ADDITIONAL ATTENDEES

We encourage attendees to bring or refer a friend or colleague! Registration fee for attendees bringing or referring an additional guest is reduced by $200.

Additional attendees must RSVP separately. If you are bringing an additional guest or have referred a registered attendee, please contact Dr. Erin Keiser at ekeiserdvm@bhcteam.com to confirm and activate the discount on your final invoice.
SECTION 4: SUBMIT RSVP

Upon submitting this form, your RSVP is complete. Within 24-hours, you will receive a digital invoice from Blue Heron Consulting. Your registration is not complete until your invoice has been paid in full. As the event approaches, we'll be in touch to learn more about you, your goals, and how we can exceed your expectations.
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Pack Trip Registration Form

SECTION 1: ABOUT YOU

SECTION 2: ABOUT YOUR PRACTICE