Tri Cities Pain Conference Registration Form 26: Submission #1523

The View page displays a submission's general information and data. Watch video

Submission information

Submission Number: 1523

Submission ID: 4366

Submission UUID: 01ffcfb7-21e4-454a-ba72-a2a920229022

Submission URI: /tripain26/form

Created: Sat, 12/27/2025 - 20:22

Completed: Sat, 12/27/2025 - 20:22

Changed: Sat, 12/27/2025 - 20:22

Remote IP address: 192.88.134.7

Submitted by: Anonymous

Language: English

Is draft: No

Current page: Complete

Webform: Paid/Free Conference Registration

Submitted to: Tri Cities Pain Conference Registration Form 26

First Name Nu Nwe

Last Name Tun

Email nunwe86@gmail.com

Degree M.D.

Specialty Internal medicine

Clinic/Organization Good Shepherd

Conference Format {Empty}

Address 620 NW 11 th street, M 103

City Hermiston

State OR

Zip 97838

Phone 6262356710

Payment Card payment

Conference type Complete Conference

Thursday {Empty}

Friday In Person

Saturday In Person

Notes {Empty}

anet_transaction_reference ref1766866945

anet_payment_status pending

Ammount 451.52

Registration code tripain26

Title Tri Cities Pain Conference 26

Receipt Receipt

Payment Note RussoCME 935 SE High St Pullman, WA 99163

Invoice number tripain26_1766866933

Tax 36.52

Base amount 415

Taxed Amount 415

Total Days 2

Recording Days 0

Non Recording Days 2

Per Day Amount 207.5

Tax Percentage 8.8