Yakima Valley Medical Conference Registration 26: Submission #1460

Submission Number: 1460
Submission ID: 3863
Submission UUID: dab80f40-ef66-4b4a-89dd-4b9322cf6c16
Submission URI: /yakima26/form

Created: Mon, 11/24/2025 - 17:04
Completed: Mon, 11/24/2025 - 17:05
Changed: Mon, 11/24/2025 - 17:05

Remote IP address: 192.88.134.7
Submitted by: russ4031
Language: English

Is draft: No
Current page: Complete
First Name: ELiza
Last Name: McNelly
Email: mcnellyeliza@gmail.com
Degree: Student
Specialty: e
Clinic/Organization: {Empty}
Conference Format: {Empty}
Address: {Empty}
City: {Empty}
State: {Empty}
Zip: {Empty}
Phone: 3
Payment: Check
Conference type: Complete Conference
Thursday: {Empty}
Friday: Recording
Saturday: Recording
Notes: {Empty}
anet_transaction_reference: ref1764003905
anet_payment_status: pending
Ammount: 150
Registration code: yakima26
Title: Yakima Valley Medical Conference 26
Receipt: http://www.russocme.com/webform/paid_conference_registration/submissions/3863/attachment/receipt/receipt.pdf
Payment Note: RussoCME
935 SE High St
Pullman, WA 99163
Invoice number: yakima26_1764003897
Tax: 0
Base amount: 150
Taxed Amount: {Empty}
Total Days: {Empty}
Recording Days: {Empty}
Non Recording Days: {Empty}
Per Day Amount: {Empty}
Tax Percentage: {Empty}