WA/OR ACS 2025 Registration Form

WA/OR ACS 2025 Registration Form
Name*

First NameLast Name
Institution*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
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Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Are you bringing guest(s) to the meeting? Please write their name below. Names and ages for the kids
Washington StateOregonN/AOther
Hands-On Endoscopy Workshop (Saturday, September 13 (9:00-12:00 pm)Business of Medicine (ACHE, WA Chapter) (Friday, September 12th 12:00 - 2:30 pm)
Registration Options
Meeting Registration
Categories:All

All

Registration (includes all meals)

Social Event Fees (for guests)
prevnext( X )
Registration (includes all meals)

ACS Fellow
$300.00



Retired Member, PA, RN, Office Staff
$200.00



Non-member MD
$350.00



Trainee
$150.00



Medical Students
$50.00



Invited speaker (not abstract presenter)
$ Free



Social Event Fees (for guests)

Spouse/Guest/Children over 18
Includes welcome reception and annual banquet.

$100.00 Quantity



Children 6-17
Includes welcome reception and Saturday Kids Program

$50.00 Quantity



Children under 6
$ Free Quantity



Friday Welcome Reception Only
(For guests, if attending this event only)

$60.00 Quantity



Saturday Annual Banquet Only
(For guests if attending this event only)

$60.00 Quantity



Total

$0.00
Questions? Please email us at admin@wachapteracs.org or call 206-794-9174.
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Registration Options