Seattle Surgical Society 2025 Registration Form

Seattle Surgical Society 2025 Registration Form

Last Registration Day - February 7, 2025
Attendee Information

Please fill name and contact information of attendees.
Your Name*

First NameLast Name
Email Address*
example@example.com
Contact Number*
Please enter a valid phone number.
Institution*
Will you have a guest with you?

YesNo
Guest Name

First NameLast Name
Would you like to be updated about the upcoming events?

YesNo
Payment Options

Pay by checkUW Resident (Send a bill to the UW Dept of Surgery)VM Resident (Send a bill to the VM Dept of Surgery)Swedish Resident (send a bill to the Swedish Dept of Surgery)Pay by credit card (includes a 3% service charge)
To pay by check, please make the check payable to the Seattle Surgical Society and mail to the address below:

Seattle Surgical Society

6817 208th St SW #90

Lynnwood, WA 98046
Registration Fees

Medical Students (dinner not included) (FREE)Scientific sessions only (dinner not included) $200
RESIDENT DIRECT BILL

For residents requesting direct billing to their Department of Surgery, we will contact the respective organizations to obtain approval.

UW RESIDENTS

Only those affiliated with the UW General Surgery, Vascular, Cardiothoracic, and Plastic Surgery residents are eligible for direct billing. All others must select the Pay by Credit Card option or Pay by Check. Please note that direct billing covers only the resident; dinner for guests is not included.
Registration Fees
prevnext( X )
Member (including dinner)Registration fee includes access to scientific sessions and dinner at the Ruins
$300.00 Quantity



Non-member (including dinner)Registration fee includes access to scientific sessions and dinner at the Ruins
$400.00 Quantity



Resident/Fellow/Advanced Practice Providers (including dinner)Registration fee includes access to scientific sessions and dinner at the Ruins
$250.00 Quantity



Medical Student (dinner not included)Registration fee includes access to scientific sessions
$ Free Quantity



Scientific sessions only (dinner not included)Registration fee includes access to scientific sessions
$200.00 Quantity



Dinner onlyRegistration fee includes access to dinner at The Ruins (does not include access to the scientific sessions)
$125.00 Quantity



Subtotal

$0.00

Tax

$0.00

Total

$0.00
Should be Empty:

Seattle Surgical Society 2025 Registration Form

Attendee Information