We apologize for the hassle 9th District Indiana Veterinary Medical Association We apologize that the software is not working for you. Please use this form to reserve your spot at the 2015 Annual Education Event. Again, we're sorry for the hassle. First Name*Last Name*Practice or Organization Name*Email address*How many MEMBERSHIP tickets do you require?How many NON membership tickets do you require?*Enter a phone number so that we can follow up with billing*For your security, we cannot take credit cards through the form section of our website. We will follow up with you by phone to take your credit card information over the phone. If you would prefer to send a check, please indicate so below.Would you like to be billed?Send me an electronic invoice and I will pay be checkSend me an electronic invoice that I can process using my credit cardIf you would NOT like us to phone you to collect your credit card information, select an appropriate way for us to follow up with billing