Membership Renewal

Step 1 of 2—Update Your Professional Information

Thank you for choosing to renew your CaRVTA membership!

All information is required. Please take this opportunity to update any other information that has changed in the last year.

THIS FORM IS FOR RENEWALS BY CREDIT CARD ONLY! If you would like to pay by check, instead of credit card, please click here for a printable, PDF version of our renewal form.

Upon hitting Submit, you will be directed to your shopping cart to choose your membership type, then to the PayPal Payment page.

Name

Employer:

Telephone:

E-Mail:

RVT License #:

CaRVTA Member #

Current Membership Type: Active Member Associate Member Active Member—Newly Licensed Associate Member—2nd Year Student

Renewal Membership Type: Active Member Associate Member Active Member—Newly Licensed

Please note: Current second-year students may not renew under this type of membership. Similarly, Newly Licensed Associate Membership is only good for one membership year.

Billing Address:

City:

Zip Code:

State:

*Bill-to Name / Name on Credit Card (if different from Member Name):