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
Email: leisag4@gmail.com
Degree: P.A.
Specialty: Primary Care
Clinic/Organization: CHCW
Conference Format: {Empty}
Address: 403 N. 80th Ave
City: Yakima
State: WA
Zip: 98908
Phone: 5099309984
Payment: Card payment
Conference type: Friday
Friday: In Person
Notes: {Empty}
anet_transaction_reference: ref1769636417
anet_payment_status: success
Ammount: 259.92
Registration code: yakima26
Title: Yakima Valley Medical Conference 26
Receipt: http://russocme.com/webform/paid_conference_registration/submissions/4698/attachment/receipt/receipt.pdf
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