Yakima Valley Medical Conference Registration 26: Submission #1632

Submission Number: 1632
Submission ID: 4696
Submission UUID: c6982c3b-006c-436d-8826-55aa548cdc82
Submission URI: /yakima26/form

Created: Wed, 01/28/2026 - 20:52
Completed: Wed, 01/28/2026 - 20:52
Changed: Wed, 01/28/2026 - 20:52

Remote IP address: 192.88.134.7
Submitted by: Anonymous
Language: English

Is draft: No
Current page: Complete
First Name: Amanda
Last Name: Lublin
Email: aclublin2020@gmail.com
Degree: Pharmacist
Specialty: Cardiology 
Clinic/Organization: {Empty}
Conference Format: {Empty}
Address: 4002 SE 17th Ave.
City: Brush Prairie
State: WA
Zip: 98606
Phone: 5756352215
Payment:  Card payment
Conference type: Complete Conference
Thursday: {Empty}
Friday: In Person
Saturday: In Person
Notes: {Empty}
anet_transaction_reference: ref1769633549
anet_payment_status: success
Ammount: 286.995
Registration code: yakima26
Title: Yakima Valley Medical Conference 26
Receipt: http://russocme.com/webform/paid_conference_registration/submissions/4696/attachment/receipt/receipt.pdf
Payment Note: RussoCME
935 SE High St
Pullman, WA 99163
Invoice number: yakima26_1769633536
Tax: 21.995
Base amount: 265
Taxed Amount: 265
Total Days: 2
Recording Days: 0
Non Recording Days: 2
Per Day Amount: 132.5
Tax Percentage: 8.3