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Group Conference Registration
WVSS
2021-03-06T17:43:49+00:00
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Business Name
Name
*
First
Last
Phone
*
Address
*
Address Line 1
Address Line 2
City
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Texas
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State
Zip Code
Email
*
Email
Confirm Email
How many are in your group to register?
1
2
3
4
5
Person 1 - (First Name, Last Name)
*
Person 1 - Email
*
Person 1 - AAST number (if applicable):
Person 2 - (First Name, Last Name)
*
Person 2 - Email
*
Person 2 - AAST number (if applicable):
Person 3 - (First Name, Last Name)
*
Person 3 - Email
*
Person 3 - AAST number (if applicable):
Person 4 - (First Name, Last Name)
*
Person 4 - Email
*
Person 4 - AAST number (if applicable):
Person 5 - (First Name, Last Name)
*
Person 5 - Email
*
Person 5 - AAST number (if applicable):
Confernce Packages
Select your affiliation:
*
Physician, Nurse Practitioner, Physician Assistant
Sleep Technologist or Respiratory Therapist
Will you be attending our Thursday event?
Yes
No
Select a package (Early Registration):
*
Friday and Saturday in person - $ 100.00
Friday and Saturday online - $ 50.00
Friday in person only - $ 50.00
Friday online only - $ 25.00
Saturday in person only - $ 50.00
Saturday online only - $ 25.00
Select a package (Early Registration) x 2:
*
Friday and Saturday in person - $ 200.00
Friday and Saturday online - $ 100.00
Friday in person only - $ 100.00
Friday online only - $ 50.00
Saturday in person only - $ 100.00
Saturday online only - $ 50.00
Select a package (Early Registration) x 3:
*
Friday and Saturday in person - $ 300.00
Friday and Saturday online - $ 150.00
Friday in person only - $ 150.00
Friday online only - $ 75.00
Saturday in person only - $ 150.00
Saturday online only - $ 75.00
Select a package (Early Registration) x 4:
*
Friday and Saturday in person - $ 400.00
Friday and Saturday online - $ 200.00
Friday in person only - $ 400.00
Friday online only - $ 100.00
Saturday in person only - $ 200.00
Saturday online only - $ 100.00
Select a package (Early Registration) x 5:
*
Friday and Saturday in person - $ 500.00
Friday and Saturday online - $ 250.00
Friday in person only - $ 250.00
Friday online only - $ 125.00
Saturday in person only - $ 250.00
Saturday online only - $ 125.00
Select a package (Early Registration):
*
Friday and Saturday in person - $ 200.00
Friday and Saturday online - $ 100.00
Friday in person only - $ 100.00
Friday online only - $ 50.00
Saturday in person only - $ 100.00
Saturday online only - $ 50.00
Select a package (Early Registration) x 2:
*
Friday and Saturday in person - $ 400.00
Friday and Saturday online - $ 200.00
Friday in person only - $ 200.00
Friday online only - $ 100.00
Saturday in person only - $ 200.00
Saturday online only - $ 100.00
Select a package (Early Registration) x 3:
*
Friday and Saturday in person - $ 600.00
Friday and Saturday online - $ 300.00
Friday in person only - $ 300.00
Friday online only - $ 150.00
Saturday in person only - $ 300.00
Saturday online only - $ 150.00
Select a package (Early Registration) x 4:
*
Friday and Saturday in person - $ 800.00
Friday and Saturday online - $ 400.00
Friday in person only - $ 400.00
Friday online only - $ 200.00
Saturday in person only - $ 400.00
Saturday online only - $ 200.00
Select a package (Early Registration): (copy)
*
Friday and Saturday in person - $ 1,000.00
Friday and Saturday online - $ 500.00
Friday in person only - $ 500.00
Friday online only - $ 250.00
Saturday in person only - $ 500.00
Saturday online only - $ 250.00
Select a payment method:
*
Pay with credit card via Paypal!
Pay by Invoice
Pay in person, day of conference
Email
Proceed to payment
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