PNWSP 2015 Spring Conference Registration

April 25-26, 2015
RiverPlace Hotel
Portland, OR

Full Name:
Name for Badge:
Group/Hospital:
Address:
City:
State:
Zip Code:
Phone:
Email Address:
My food preference is vegan
My food preference is gluten free
Conference registration fee includes your tuition, e-syllabus, breakfasts (Sat. & Sun.), and Saturday lunch.

Conference Registration

PNWSP Member $300
Physician Non-Member $350
Pathology Assistant $125
Cytotechnologists $125
Resident Member No charge ($25 for no shows)
Resident Non-Member $75 (includes PNWSP membership for 2015-2017)
 

Payment

- Visa or MasterCard Only
Name on Card:
Bill Address:
Billing Zip code:
Credit Card # (16 digits):
Expiration Date:
 

CANCELLATION POLICY

We must receive written notification of your cancellation. A $50 processing fee will be deducted from the registration refund. No refunds will be issued after April 1, 2015.

INQUIRIES


Contact Darla White at the PNWSP Office at 206-956-3642 or email ddw@wsma.org