2016 Annual Meeting Registration


Semiahmoo Resort, Blaine WA

June 3-5

Contact Information

Name:
Title:
Name for Badge:
Practice/Group Name:
Address:
Phone:
-
E-mail:*

Meeting Registration

Registration Type:*
My food preference is:
I will attend the Friday night reception? (Included with registration)
I will attend the Saturday night dinner? (Included with registration)
Guest meal tickets (13 and over) - $100/guest
Guest meal tickets (12 and under) - No charge:
Total:
Type the characters seen in the image:

Upon completing the form and clicking "submit," if any funds are due to complete the meeting registration process, you will be directed to PayPal to complete the payment.

CANCELLATION POLICY: We must receive written notification of your cancellation. A $75 processing fee will be deducted from the registration refund. No refunds after June 1, 2016.

INQUIRIES: Contact the WSPS Office at 206-956-3642, or send an email to ddw@wsma.org