REGISTRATION


2008 Ambulance Billing & Reimbursement Conference

February 25 & 26, 2008

Radisson Hotel Gateway, Seattle Tacoma Airport

18118 International Boulevard, Seattle WA 98188

Please provide the following information:

Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone
E-mail
Attendee Title & Email

Is your organization a

WAA Member (per attendee: $175 by 2/15/08; $225 after 2/15/08)
Non-Member (per attendee: $225 by 2/15/08; $275 after 2/15/08)

You will receive an invoice via regular mail for payment and to confirm your registration


Author information goes here.
Copyright © 2003 [OrganizationName]. All rights reserved.
Revised: 02/07/08