PNWD 85th Annual Scientific Conference Registration

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• Pacific Northwest Dermatological 85th Annual Scientific Conference
  July 20-22, 2018
  The Coeur d'Alene, Coeur d'Alene, Idaho
  
  
• Name
  First Last
• Title
• Preferred First Name for Badge
• Group Name
• Address
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• Phone
• Email*
• (Email address is required to receive a confirmation/receipt and your e-syllabus)
  
  Conference registration fee includes your three-day conference tuition, e-syllabus, opening night reception, as well as all breakfasts and refreshment breaks. The Saturday Night Dinner Banquet is free for the attendees. Guest are invited to dinner, please register your guest below.
  
  

  Conference Registration

• Conference Registration Rates
  • Member - $400.00
  • Non Member - $625.00
  • Retired - $250.00
  • Advanced Practice Clinicians - $325.00
  • Residents - No charge
• I will be attending the dinner (included with registration):
  • Yes
  • No
• No. of adult dinner guests:
  Adult dinner guests are $75.00 each
  Select # of adult dinner guestsOne guest - $75.00Two guests - $150.00Three guests - $225.00Four guests - $300.00
• No. of child dinner guests
  Children ages 5-12 are $35 each; children under 5 years old are free.
  Select # of child dinner guestsOne child guest - $35.00Two child guests - $70.00Three child guests - $105.00Four child guests - $140.00

• Optional - Saturday Family Activity

  Raptors are fascinating birds: the silent night-hunting owls, the day-hunting hawks, the fish eating ospreys, the fast flying falcons, and the mighty eagles. Birds of Prey Northwest will provide an educational program, bringing in a raptor biologist with 5 glove handled raptor species-including an eagle!
• Adult Tickets - Saturday Family Activity
  Adult tickets $20.00 each
  Select # of adult ticketsOne guest - $20.00Two guests - $40.00Three guests - $60.00Four guests - $80.00
• Child Tickets - Saturday Family Activity
  Children ages 5-12 are $10 each; children under 5 years old are free.
  Select # of child ticketsOne child ticket - $10.00Two child tickets - $20.00Three child tickets - $30.00Four child tickets - $40.00
• TOTAL
  $0.00
• CREDIT CARD
  American Express

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