Membership Application

Membership Applications

Mission Statement

The FAEP’s mission is to support the professional development of its members and to educate its members on conditions affecting the equine industry as well as methods for improving the welfare of horses in the state of Florida.

Please provide the following contact information:

Offline Application Below (Please print and mail to FAEP)

*Student Members please log on to the FAEP Student Chapter icon for membership*

Equine Veterinarians

Company
Name
Equine Specialty
Street Address
Address (cont.)
City
State
Zip Code
Directory Listing
Work Phone
Facsimile
Year Established
E-mail
Website Address

Birth Date

School

Company: I understand that by providing the fax number above/e-mail on behalf of the company/organization specified above. I am authorized to and hereby consent for the company/organization to received faxes/e-mail sent by or on behalf of the Florida

Association of Equine Practitioners.

Individual: I understand by providing the fax number above/e-mail. I hereby consent to receive faxes/e-mails sent by or on behalf of the Florida Association of Equine Practitioners.

Please provide reasons for joining the FAEP

Become a Student Mentor

Relief Veterinarian

Relief

Veterinarian

Dates

To

Of

Continuing Education

Referrals
Services
Program Publication
Equine Development
Membership Services

New members will receive a logo shirt sponsored by the FAEP. Please indicate size, color, and style. (Polo/Oxford)

Size
Color
Style

LEVEL OF MEMBERSHIPS

*Lifetime membership are for Equine Veterinarians only*

*Student Members please log on to the FAEP Student Chapter icon for membership*


Would you like to offer a service discount to other members?
Percentage of discount
Amount of membership

Credit Card Type
Card Number
Expiration Date
Security Code

Would you like your credit card automatic billed yearly

All Memberships are for one calendar year. Board of Directors must approve all new members.

If you do not receive an e-mail response within 72 hours from the FAEP, please call the FAEP office at 561.791.0453 to verify your registration.

	JOIN TODAY!

	NEWS BOX HEADING

	Contact us 561.791.0453

PO Box 210635 West Palm Beach, FL 33421-0635 Ph. 561.791.0453 Fax. 561.791.0395