Yakima Valley Medical Conference Registration 26: Submission #1634
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Submission information
Submission Number: 1634
Submission ID: 4698
Submission UUID: a374ce0b-111b-4d9b-852a-5f298c64cc4a
Submission URI: /yakima26/form
Created: Wed, 01/28/2026 - 21:39
Completed: Wed, 01/28/2026 - 21:40
Changed: Wed, 01/28/2026 - 21:40
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 | Leisa |
|---|---|
| Last Name | Garrett |
| leisag4@gmail.com | |
| Degree | P.A. |
| Specialty | Primary Care |
| Clinic/Organization | CHCW |
| Conference Format | |
| Address | 403 N. 80th Ave |
| City | Yakima |
| State | WA |
| Zip | 98908 |
| Phone | 5099309984 |
| Payment | Card payment |
| Conference type | Friday |
| Friday | In Person |
| Notes | |
| anet_transaction_reference | ref1769636417 |
| anet_payment_status | success |
| Ammount | 259.92 |
| Registration code | yakima26 |
| Title | Yakima Valley Medical Conference 26 |
| Receipt | Receipt |
| Payment Note | RussoCME 935 SE High St Pullman, WA 99163 |
| Invoice number | yakima26_1769636408 |
| Tax | 19.92 |
| Base amount | 240 |
| Taxed Amount | 240 |
| Total Days | 1 |
| Recording Days | 0 |
| Non Recording Days | 0 |
| Per Day Amount | 240 |
| Tax Percentage | 8.3 |