Registration Form

Please provide the following information to register your Nerdbook^®.

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First Name:
Last Name:
Permanent Email Address:
Mailing Address:
City:
State or Province:
Country:
Postal Code:
Main Phone Number:

Which Version of the Nerdbook^® are you registering?

	1^st Edition
	2^nd Edition
	3^rd Edition* *(includes FREE access to the Nerdbook^® Extras area)

If you are registering the 3^rd Edition, please enter the ID Number. This number is located on the back of the cover page under the section titled: REGISTER YOUR BOOK. ID: - Cattledog

How did you first hear about Nerdbook^®

	Saw it in the bookstore.
	Saw it in a catalogue or ad.
	Saw others using it.
	A friend recommended it, but I'd never seen it prior to ordering.
	Saw it in a web page ad.

Veterinary students, fill out this portion:

Year in school when Nerdbook^® was purchased:

1^st
2^nd
3^rd
4^th

Name of Veterinary School:

Veterinarians fill out this portion:

Years of practice:
Year graduated from veterinary school:

What other similar products would you like to see from CattleDog Publishing ?

*If you are registering the 3^rd Edition of Nerdbook, an email will be sent to you with access instructions to the Nerdbook^® Extras area.