Veterinary Herbal Apprenticeship and Retreat 2027-2028

Course Registration & Online Payment

Use this form if you wish to pay for this course using a credit or debit card.
WANT TO PAY WITH A CHECK OR MONEY ORDER INSTEAD? CLICK HERE!
This course is open to veterinarians primarily and is limited to 25 people.

If you are a non-veterinarian interested in taking this course, please email Dr. Dohmen at drlaurie@purplemoonherbstudies.com prior to registering for this course.
Attendee Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Cell Phone Number (no landlines please)
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Person

First NameLast Name
Emergency Contact Person's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
PLEASE MAKE SURE ALL THE REQUIRED INFORMATION BELOW IS CORRECT. SUBMITTING INCORRECT INFORMATION MAY RESULT IN YOUR NOT RECEIVING YOUR CE CREDITS.
Please list your Veterinary License Number(s) here.
License Type

Other
Type of License
Please list the state where your License Number(s) is/are valid here.
Graduation Year & School
Other Training
How Did You Hear About Us?

VHAR 2027-2028 Full Payment

Full payment for our VHAR 2025-2026 Course.

$4,650.00 Quantity
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VHAR Deposit

Initial Deposit for our VHAR 2027-2028 Course.

$1,000.00 Quantity
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Total

Credit Card

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PLEASE BE SURE TO ENTER YOUR CREDIT/DEBIT CARD INFORMATION ABOVE PRIOR TO CLICKING THE SUBMIT BUTTON.
REFUND POLICY: A $50 PROCESSING FEE WILL BE APPLIED TO ALL REFUNDS ISSUED

PLEASE NOTE THAT NO REFUNDS WILL BE ISSUED AFTER July 1st 2027.
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Course Registration & Online Payment