Yakima Valley Medical Conference Registration 26: Submission #1605
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Submission information
Submission Number: 1605
Submission ID: 4638
Submission UUID: 4529b767-9489-406b-a1bf-78b8c6ef9801
Submission URI: /yakima26/form
Created: Tue, 01/20/2026 - 02:45
Completed: Tue, 01/20/2026 - 02:45
Changed: Tue, 01/20/2026 - 02:45
Remote IP address: 192.88.134.7
Submitted by: Anonymous
Language: English
Is draft: No
Current page: Complete
Webform: Paid/Free Conference Registration
Submitted to: Yakima Valley Medical Conference Registration 26
| First Name | Nichole |
|---|---|
| Last Name | Bosma |
| nibosma@hotmail.com | |
| Degree | N.P. |
| Specialty | Family Medicine |
| Clinic/Organization | Family Medicine of Yakima |
| Conference Format | |
| Address | 123 Lyle Loop Rd |
| City | Selah, WA PST |
| State | WA |
| Zip | 98942 |
| Phone | 9712350578 |
| Payment | Card payment |
| Conference type | Complete Conference |
| Thursday | |
| Friday | In Person |
| Saturday | In Person |
| Notes | |
| anet_transaction_reference | ref1768877156 |
| anet_payment_status | success |
| Ammount | 422.37 |
| Registration code | yakima26 |
| Title | Yakima Valley Medical Conference 26 |
| Receipt | Receipt |
| Payment Note | RussoCME 935 SE High St Pullman, WA 99163 |
| Invoice number | yakima26_1768877148 |
| Tax | 32.37 |
| Base amount | 390 |
| Taxed Amount | 390 |
| Total Days | 2 |
| Recording Days | 0 |
| Non Recording Days | 2 |
| Per Day Amount | 195 |
| Tax Percentage | 8.3 |