Yakima Valley Medical Conference Registration 26: Submission #1617
The Table page displays a submission's general information and data using tabular layout. Watch video
Submission information
Submission Number: 1617
Submission ID: 4661
Submission UUID: ad7dc33f-982f-4f2e-a107-e72f244c62a5
Submission URI: /yakima26/form
Created: Wed, 01/21/2026 - 22:06
Completed: Wed, 01/21/2026 - 22:06
Changed: Wed, 01/21/2026 - 22:06
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 | Tiffany |
|---|---|
| Last Name | Ludka-Gaulke |
| tludkagaulke@gmail.com | |
| Degree | M.D. |
| Specialty | IM/Peds |
| Clinic/Organization | Providence Medical Group |
| Conference Format | |
| Address | 10005 N Moss Ln |
| City | Spokane |
| State | WA |
| Zip | 99208 |
| Phone | 7156150088 |
| Payment | Card payment |
| Conference type | Complete Conference |
| Thursday | |
| Friday | Virtual |
| Saturday | Virtual |
| Notes | |
| anet_transaction_reference | ref1769033186 |
| anet_payment_status | success |
| Ammount | 449.445 |
| Registration code | yakima26 |
| Title | Yakima Valley Medical Conference 26 |
| Receipt | Receipt |
| Payment Note | RussoCME 935 SE High St Pullman, WA 99163 |
| Invoice number | yakima26_1769033165 |
| Tax | 34.445 |
| Base amount | 415 |
| Taxed Amount | 415 |
| Total Days | 2 |
| Recording Days | 0 |
| Non Recording Days | 2 |
| Per Day Amount | 207.5 |
| Tax Percentage | 8.3 |