2021 Virtual Summit to Sound Registration 2021 Virtual Summit to Sound Registration HiddenDate MM slash DD slash YYYY Contact InformationName* First Last Credentials (MD, DO, PhD, etc.) ED Group/Hospital PhoneEmail* E-mail address is required to receive a confirmation/receipt and your e-syllabus. FULL CONFERENCE REGISTRATION*Registration for our Virtual Summit to Sound is free this year! For CME purposes, please indicate the appropriate category: Member Physician - $0.00 Non-Member Physician - $0.00 Allied Health Professional - $0.00 Nurse Practitioner - $0.00 Retired - $0.00 Resident/Student - $0.00 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 May 1, 2020. INQUIRES: Contact the WA/ACEP Office at 206-956-3648 or send emails to firstname.lastname@example.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.