Academy of Veterinary Consultants

Dr. Gregg A Hanzlicek has applied for an Armstrong Scholarship from AVC. We would like for you to enter a Letter or Reference for the student below.

All fields are required, and must be filled in before submitting this form.

Your Information
Applicants Name:	Dr. Gregg A Hanzlicek
Your Name :
Clinic/Practice/Company Name (100 char):
Address:
City:
State/Province:
Country:
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Phone (15 char):
Fax (15 char):
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Letter of Reference
Please attest to the character of the applicant.

The AVC Office may contact you to verify the validity of this information.

Comments/Suggestions/Problems should be directed to Steve Johnson

AVC
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