Seminar Registration

Event Online Registration Form

To register and pay online for events using Visa or MasterCard, please complete the form and click on Submit Registration at the bottom of the page. The form will be submitted electronically to the WSMA and your credit card information will go through our secure website for processing.

You will receive a confirmation letter from the WSMA with the event's location (unless you signed up for a webinar) and a phone number to call for driving directions. If you do not receive this letter prior to the event, please call to confirm. You may contact Jenelle Dalit you have any questions at (206) 441-9762 or 1 (800) 552-0612 or send an email to Jenelle at jcd@wsma.org.

Please note that website registration submitted after 12 noon the day prior to an event may not be processed in time to confirm space. If you did not receive a confirmation letter via mail or fax and wish to attend, registration will be accepted at the door. Extra spaces are subject to availability and are provided on a first come, first serve basis.

Select the event you would like to attend:

Legal Issues Update: Protecting Your Practice 90-minute webinar
Wednesday, July 27 – Noon-1:30pm PT

Medical Practice Transformation: What You Need to Know! 90-minute webinar
Wednesday, August 3 – Noon-1:30pm PT

A new form will need to be filled out for each different event you plan to attend

General Information (please type in)

* Registrant First Name:

* Registrant Last Name:

Title:

Additional Registrant Name:

Title:

Additional Registrant Name:

Title:

Sponsoring Physician or WSMGMA Member:

Clinic or Group Name:

* Address:

* City:

* State:

* Zip Code:

Phone Number:

Fax Number:

* E-Mail Address:

# of MDs/DOs in Group:

Tuition:

For WSMA and WSMGMA members

For webinars:

Legal Issues Update: Protecting Your Practice

WSMA and WSMGMA members can attend for $89. One registration fee per phone line lets your entire staff listen in.

Medical Practice Transformation: What You Need to Know!

WSMA and WSMGMA members can attend for $89. One registration fee per phone line lets your entire staff listen in.

For non-members

Call for non-member pricing on all seminars and webinars at 1 (800) 552-0612

Enter total amount:
(For FREE webinar, enter 0)

PLEASE NOTE:
You will receive a confirmation number after your registration is complete. This does NOT guarantee attendance. Pending availability, a confirmation letter will be sent to indicate that your registration has been processed. If you do not receive a confirmation letter, please contact Jenelle Dalit at jcd@wsma.org.