FVD Foundation Titanium Member Contributor

Contributor Application Form, subscription and non-voting membership.

$0

Total
PLEASE NOTE: THIS IS THE 2024 SUBSCRIPTION, subscriptions run from January to December each year - for questions please email admin@VeterinaryDentistry.org.
Benefits of being a Foundation Member Contributor:

Select here to see benefits
Choose year of subscription:

Choose year of subscription: 2024 subscription
Foundation Titanium Contributor $1000.00
Please select:

Please select: United States resident Canadian and International
United States resident $1000.00 (3 JVD subscriptions, plus a tax deductible donation to the Foundation) $ Dollars . Cents
Canadian and International $1000.00 (3 JVD subscriptions, plus a tax deductible donation to the Foundation) $ Dollars . Cents
If applicable: EIN 20-3032950 (please consult with your tax representative)
Foundation General Fund

I would like to direct the following amount of my donated funds to the general support of Foundation for Veterinary Dentistry programs to support the advancement of the profession.
Foundation General Fund
Capital Campaign

I would like to direct the following amount of my donated funds to Put Your Money Where the Mouth Is! The goal is to establish an endowed (protected) fund to ensure future financial support for research and education in the field of veterinary dentistry.
Capital Campaign
SCFVD

I would like to direct the following amount of my donated funds to the support of the Student Chapter of the FVD program (SCFVD). To provide development and support of the Student Chapters nationwide. This donation helps to run wet labs and other dental activities at veterinary schools.
SCFVD amount
MMSP

I would like to direct the following amount of my donated funds to the Make Me Smile Program (MMSP). Primary goal is helping animal shelters provide adoptable pets with healthy mouths to their for-ever homes. Secondary assist zoo/sanctuary animals to have good oral care.
MMSP amount
VDFSP

I would like to direct the following amount of my donated funds to the "Veterinary Dental Forum" Scholarship Program (VDFSP). This provides financial assistance to veterinarians and veterinary support staff to attend the Veterinary Dental Forum.
VDFSP amount
IDII

I would like to direct the following amount of my donated funds to the Intraoral Dental Imaging Initiative (IDII). To provide equipment in the form of dental x-ray units to veterinary or technician schools that do not currently have them, along with the training on how to use them.
IDII amount
* Donated funds not specifically directed above will be allocated to programs benefiting veterinary dentistry
by the Foundation Board.
Salutation
Name Name First Last
Email for Journal:
Address:
Your Address Your Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Do you want your name listed on the Foundaton website as a Titanium Contributor?

Do you want your name listed on the Foundaton website as a Titanium Contributor? Yes No
Phone #
Graduation Year:
My practice/affiliation can best be described as:

My practice/affiliation can best be described as: Academician/Researcher Associate Government Industry Owner/Partner Dentist/Dentistry Technician VTS(Dentistry) DVM-General DVM-Specialist* please specify below
*Specify specialty, please.
My practice category can best be described as:

My practice category can best be described as: Large Animal Small Animal Mixed Equine Other Other
Name for 2nd Journal subscription Name for 2nd Journal subscription First Last
Email for 2nd Journal subscription
Name for 3rd Journal subscription Name for 3rd Journal subscription First Last
Email for 3rd Journal subscription
THE EMAIL YOU RECEIVE IS CONFIRMATION OF YOUR SUBSCRIPTION.
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$0

Total

FVD Foundation Titanium Member Contributor

FVD Foundation Titanium Member Contributor

$`0`

Total

PLEASE NOTE: THIS IS THE 2024 SUBSCRIPTION, subscriptions run from January to December each year - for questions please email admin@VeterinaryDentistry.org.

Benefits of being a Foundation Member Contributor:

Foundation Titanium Contributor $1000.00

Foundation General Fund

Capital Campaign

SCFVD

MMSP

VDFSP

IDII

Address:

THE EMAIL YOU RECEIVE IS CONFIRMATION OF YOUR SUBSCRIPTION.

$`0`

Total

FVD Foundation Titanium Member Contributor

FVD Foundation Titanium Member Contributor

$0

Total

PLEASE NOTE: THIS IS THE 2024 SUBSCRIPTION, subscriptions run from January to December each year - for questions please email admin@VeterinaryDentistry.org.

Benefits of being a Foundation Member Contributor:

Foundation Titanium Contributor $1000.00

Foundation General Fund

Capital Campaign

SCFVD

MMSP

VDFSP

IDII

Address:

THE EMAIL YOU RECEIVE IS CONFIRMATION OF YOUR SUBSCRIPTION.

$0

Total

$`0`

$`0`