Payment Submission Form

This form is hosted on a secure server in order to protect your information. If you would like to fax or email your payment information, please print this page, fill out the form, and fax to 613-236-9681 or email to kgray@cvma-acmv.org.

*indicates a required field.

Invoice Information

Manuscript Number *

Title of Manuscript *

Contact Information

Author Name *

Address *

Address 2

City *

Province / State *

Country *

Postal / ZIP Code *

Email of Author *

Request a copy of receipt be sent to:

Name

Please select your charges: *

Scientific Articles - $1500 + (GST/HST as applicable)

Short Communications - $1200 + (GST/HST as applicable)

Review Articles - $1500 + (GST/HST as applicable)

CVMA Member Discount

Fast-Track Option (GST/HST as applicable)

Subtotal:

$0.00

Tax Amount:

$0.00

Total Amount:

$0.00

Payment Information

Method *

Comments