I hereby apply for membership in the Pennsylvania Veterinary Medical Association for the amount shown above, for membership dues for the current calendar year If accepted
to membership, I hereby certify to abide by the constitution, bylaws and principles of veterinary medical ethics of the association. In the event of resigning—I agree to pay all
indebtedness to the association which may be owing and shown in the records of the organization. Any resignation on my part will be in writing and presented to the board of
trustees. I understand my remittance will be returned if my application is not accepted.