Interested in Sponsoring a FVD Student Chapter

Sponsor of a Student Chapter of the Foundation for Veterinary Dentistry

This is an opportunity to support veterinary dentistry students (Tax Deductible)

If applicable: EIN 20-3032950 (please consult with your tax representative)
Full name of school interested in sponsoring
Does the School already have a chapter

Does the School already have a chapter Yes No
Have you been in contact with anyone at the school for starting a club?

Have you been in contact with anyone at the school for starting a club? yes no
Name of your school contact Name of your school contact First Last
Email address of your school contact
Sponsor's Name Sponsor's Name First Last
Sponsor's Address Sponsor's Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Sponsor's Email
Sponsor's Phone Sponsor's Phone - ### - ### ####
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