Yakima Valley Medical Conference Registration 26: Submission #1463
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Submission information
Submission Number: 1463
Submission ID: 3866
Submission UUID: 749cfa4d-27f2-4ceb-852f-7217bfc102d7
Submission URI: /yakima26/form
Created: Mon, 11/24/2025 - 17:12
Completed: Mon, 11/24/2025 - 17:13
Changed: Mon, 11/24/2025 - 17:14
Remote IP address: 192.88.134.7
Submitted by: russ4031
Language: English
Is draft: No
Current page: Complete
Webform: Paid/Free Conference Registration
Submitted to: Yakima Valley Medical Conference Registration 26
| First Name | Eliza |
|---|---|
| Last Name | Grace |
| mcnellyeliza@gmail.com | |
| Degree | Student |
| Specialty | d |
| Clinic/Organization | |
| Conference Format | |
| Address | |
| City | |
| State | |
| Zip | |
| Phone | 3 |
| Payment | Check |
| Conference type | Complete Conference |
| Thursday | |
| Friday | In Person |
| Saturday | In Person |
| Notes | |
| anet_transaction_reference | ref1764004388 |
| anet_payment_status | success |
| Ammount | 162.45 |
| Registration code | yakima26 |
| Title | Yakima Valley Medical Conference 26 |
| Receipt | Receipt |
| Payment Note | RussoCME 935 SE High St Pullman, WA 99163 |
| Invoice number | yakima26_1764004373 |
| Tax | 12.45 |
| Base amount | 150 |
| Taxed Amount | |
| Total Days | |
| Recording Days | |
| Non Recording Days | |
| Per Day Amount | |
| Tax Percentage |