2017 Annual Meeting Registration WSNS 2017 Annual Meeting & Scientific ProgramContact Information Name:FirstLast Preferred First Name for Badge: Group Name: Address: Street Address Street Address Line 2 City State / Province Postal / Zip Code Phone: Area Code - Phone Number Email (Required for syllabus):*Conference registration fee includes your conference tuition, e-syllabus, breakfast, breaks, and lunch.Registration Rate 2017 Annual Meeting Registration:*Member Physicians - FreeNon-Member Physicians - $300Member Nurses & Physician Assistants - FreeRetired Physicians - $150Residents - FreeNon-membaer allied healthcare providers - $200Speakers - Free Total:Upon completing the form and clicking "submit," if any funds are due to complete the registration, you will be directed to PayPal to complete the payment for the meeting. You do not have to have a PayPal account to make a payment. Please verify:SubmitResetCANCELLATION 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 September 16, 2017.INQUIRIES: Contact Becky Constantine, Association Executive, at the WSNS Office at 206-956-3635 or send emails to firstname.lastname@example.org.