16th Annual Meeting Registration 2019 Annual Meeting Registration September 21, 2019 The Motif Seattle, WAName First Last Preferred First Name for BadgeGroup NameAddress Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code PhoneEmail* Conference registration fee includes your conference tuition, e-syllabus, breakfast, breaks, and lunch.Registration RatesMember Physicians - FreeNon-Member Physicians - $300Member Nurses & Physician Assistants - FreeRetired Physicians - $150Residents - FreeNon-member Nurses & Physician Assistants - $200Speakers - FreeTOTAL $0.00 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. 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 September 1, 2019. INQUIRIES: Contact Becky Constantine, Association Executive, at the WSNS Office at 206-956-3635 or send emails to email@example.com.