Yakima Valley Medical Conference Registration 26: Submission #1463
Secondary tabs
The Plain text page displays a submission's general information and data as plain text. Watch video
Submission navigation links for Paid/Free Conference Registration
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
Email: mcnellyeliza@gmail.com
Degree: Student
Specialty: d
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: In Person
Saturday: In Person
Notes: {Empty}
anet_transaction_reference: ref1764004388
anet_payment_status: success
Ammount: 162.45
Registration code: yakima26
Title: Yakima Valley Medical Conference 26
Receipt: http://www.russocme.com/webform/paid_conference_registration/submissions/3866/attachment/receipt/receipt.pdf
Payment Note: RussoCME
935 SE High St
Pullman, WA 99163
Invoice number: yakima26_1764004373
Tax: 12.45
Base amount: 150
Taxed Amount: {Empty}
Total Days: {Empty}
Recording Days: {Empty}
Non Recording Days: {Empty}
Per Day Amount: {Empty}
Tax Percentage: {Empty}