2017 Summit to Sound Registration


Contact Information

Name:*
Title:
Preferred First Name for Badge:
ED Group/Hospital:
Address:
Phone:
-
E-mail:*

E-mail address is required to receive a confirmation/receipt and your e-syllabus.

Conference registration fee includes tuition, e-syllabus, welcome reception, as well as breakfasts, AM/PM breaks, and lunches.  Please register separately for the Pre-Conference Workshops.

Conference Registration

2017 Summit to Sound Registration Registration:
1-Day Only Registration - Please indicate on which date you will be attending:

Pre-Conference Workshops – April 26, 2017

2017 Summit to Sound workshop(s) that you would like to attend:
Workshop Waiting List:

Registration Total

Total:
Please verify:

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 March 24, 2017.

INQUIRES: Contact the WA/ACEP Office at 206-956-3648 or send emails to plp@wsma.org.

Registration Information

One registration form per person is required. Please type or print clearly. Your name badge will reflect the information you provide on the registration form. A registration confirmation will be emailed to you.