Non-Member Conference Registration

Wednesday, April 26 – Friday, April 28, 2017
Marcus Whitman Hotel - Walla Walla, WA

If you are already a member, please fill out the Member registration form. 

Fields in Bold are required.

Registration Type
Preconference Selection
(Tuesday)
Attend Wednesday Dinner?
Wednesday Dinner Guest Ticket?
Not a member? Join now save $50 on this conference registration
(Transaction subject to $50 membership fee, discount applied during payment)
First Name
Last Name
Organization
Title
Email Address
Address 1
Address 2
City
State
Zip
Phone Number (with Ext.)
Fax
Certified
Conference Materials :
Please watch for the e-Blast alerting you to when they are available.
First Time Attendee?
Yes No
 
(Please note, if you choose to pay through PayPal, there will be an additional 4% administration fee charged to your card.)

 

Registration Deadline: April 1, 2017
If you’d like to pay by check, please make checks payable to: WAMSS

Return completed registration form to:
WAMSS Conference Registration
C/O Molina Healthcare, INC
Attn: Carrianne Dockter, Ste. 100
PO Box 4004
Bothell, WA 98041-4004