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Home
About
WASCA
Board of Directors
Staff
Ambulatory Surgery Centers (ASC) – Facts
Join
Benefits of Membership
Categories of Membership
Membership Application
Resources
State Regulations
Federal Regulations
ASC Legal Blog
Members Listserv
Other
Advocacy
Legislative and Regulatory
Grassroots
Meetings
2022 Northwest ASC Symposium
2022 Annual Education Conference & Trade Show
PAC
PAC Board of Directors
Make a PAC Contribution
PAC Events
Contact
2021 Annual Education Conference & Trade Show Registration – Proliance
Washington Ambulatory Surgery Center Association
Proliance Attendees
Washington Ambulatory Surgery Center Association
2021 Annual Education Conference & Trade Show
Tulalip Resort & Spa
November 4 & 5, 2021
Primary Contact Name
*
First
Last
Primary Contact Title
Primary Contact Company
*
Primary Contact Address
Street Address
Address Line 2
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Primary Contact Phone
Primary Contact Email
*
The Administrative, GI & General Infection Prevention tracks will occur on Friday, November 5. Please indicate the presentation(s) that you wish to attend (if any). Due to restrictions on room capacity, you will need to attend the presentations that you have pre-registered for.
General Infection Prevention: 10:00 – 11:00 a.m.
General Infection Prevention: 11:00 – 12:00 p.m.
General Infection Prevention: 12:00 – 1:00 p.m.
Administrative Track: 10:00 – 11:00 a.m.
Administrative Track: 11:00 – 12:00 p.m.
Administrative Track: 12:00 – 1:00 p.m.
GI Track – Infection Prevention:10:00 – 11:00 a.m.
GI Track – Infection Prevention: 11:00 – 12:00 p.m.
GI Track – Infection Prevention: 12:00 – 1:00 p.m.
Special Event: Thursday, November 4 Lunch with Dr. Michael Greenberg: A Discussion About Malignant Hypothermia, hosted by Eagle Pharmaceuticals. Pre-registration is required in order to attend. A maximum of 40 attendees will be accepted: 12:40pm-1:40pm.
Registration Fees
*
WASCA Member - $550.00
Member – Thursday only - $475.00
Member – Friday only - $475.00
Non-Member - $725.00
Non-Member – Thursday only - $650.00
Non-Member – Friday only - $650.00
Additional WASCA Member Registrations
Each additional registration is $450/registrant
Please select # of addt'l registrations
One Addt'l Registration - $450.00
Two Addt'l Registrations - $900.00
Three Addt'l Registrations - $1,350.00
Four Addt'l Registrations - $1,800.00
Additional Member 1 Name
*
First
Last
Additional Member 1 Title
Additional Member 1 Company
*
Additional Member 1 Address
Street Address
Address Line 2
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Additional Member 1 Phone
Additional Member 1 Email
*
Additional Member 1 - The Administrative, GI & General Infection Prevention tracks will occur on Friday, November 5. Please indicate the presentation(s) that you wish to attend (if any). Due to restrictions on room capacity, you will need to attend the presentations that you have pre-registered for.
General Infection Prevention: 10:00 – 11:00 a.m.
General Infection Prevention: 11:00 – 12:00 p.m.
General Infection Prevention: 12:00 – 1:00 p.m.
Administrative Track: 10:00 – 11:00 a.m.
Administrative Track: 11:00 – 12:00 p.m.
Administrative Track: 12:00 – 1:00 p.m.
GI Track – Infection Prevention:10:00 – 11:00 a.m.
GI Track – Infection Prevention: 11:00 – 12:00 p.m.
GI Track – Infection Prevention: 12:00 – 1:00 p.m.
Special Event: Thursday, November 4 Lunch with Dr. Michael Greenberg: A Discussion About Malignant Hypothermia, hosted by Eagle Pharmaceuticals. Pre-registration is required in order to attend. A maximum of 40 attendees will be accepted: 12:40pm-1:40pm.
Additional Member 2 Name
*
First
Last
Additional Member 2 Title
Additional Member 2 Company
*
Additional Member 2 Address
Street Address
Address Line 2
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Additional Member 2 Phone
Additional Member 2 Email
*
Additional Member 2 - The Administrative, GI & General Infection Prevention tracks will occur on Friday, November 5. Please indicate the presentation(s) that you wish to attend (if any). Due to restrictions on room capacity, you will need to attend the presentations that you have pre-registered for.
General Infection Prevention: 10:00 – 11:00 a.m.
General Infection Prevention: 11:00 – 12:00 p.m.
General Infection Prevention: 12:00 – 1:00 p.m.
Administrative Track: 10:00 – 11:00 a.m.
Administrative Track: 11:00 – 12:00 p.m.
Administrative Track: 12:00 – 1:00 p.m.
GI Track – Infection Prevention:10:00 – 11:00 a.m.
GI Track – Infection Prevention: 11:00 – 12:00 p.m.
GI Track – Infection Prevention: 12:00 – 1:00 p.m.
Special Event: Thursday, November 4 Lunch with Dr. Michael Greenberg: A Discussion About Malignant Hypothermia, hosted by Eagle Pharmaceuticals. Pre-registration is required in order to attend. A maximum of 40 attendees will be accepted: 12:40pm-1:40pm.
Additional Member 3 Name
*
First
Last
Additional Member 3 Title
Additional Member 3 Company
*
Additional Member 3 Address
Street Address
Address Line 2
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Additional Member 3 Phone
Additional Member 3 Email
*
Additional Member 3 - The Administrative, GI & General Infection Prevention tracks will occur on Friday, November 5. Please indicate the presentation(s) that you wish to attend (if any). Due to restrictions on room capacity, you will need to attend the presentations that you have pre-registered for.
General Infection Prevention: 10:00 – 11:00 a.m.
General Infection Prevention: 11:00 – 12:00 p.m.
General Infection Prevention: 12:00 – 1:00 p.m.
Administrative Track: 10:00 – 11:00 a.m.
Administrative Track: 11:00 – 12:00 p.m.
Administrative Track: 12:00 – 1:00 p.m.
GI Track – Infection Prevention:10:00 – 11:00 a.m.
GI Track – Infection Prevention: 11:00 – 12:00 p.m.
GI Track – Infection Prevention: 12:00 – 1:00 p.m.
Special Event: Thursday, November 4 Lunch with Dr. Michael Greenberg: A Discussion About Malignant Hypothermia, hosted by Eagle Pharmaceuticals. Pre-registration is required in order to attend. A maximum of 40 attendees will be accepted: 12:40pm-1:40pm.
Additional Member 4 Name
*
First
Last
Additional Member 4 Title
Additional Member 4 Company
*
Additional Member 4 Address
Street Address
Address Line 2
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Additional Member 4 Phone
Additional Member 4 Email
*
Additional Member 4 - The Administrative, GI & General Infection Prevention tracks will occur on Friday, November 5. Please indicate the presentation(s) that you wish to attend (if any). Due to restrictions on room capacity, you will need to attend the presentations that you have pre-registered for.
General Infection Prevention: 10:00 – 11:00 a.m.
General Infection Prevention: 11:00 – 12:00 p.m.
General Infection Prevention: 12:00 – 1:00 p.m.
Administrative Track: 10:00 – 11:00 a.m.
Administrative Track: 11:00 – 12:00 p.m.
Administrative Track: 12:00 – 1:00 p.m.
GI Track – Infection Prevention:10:00 – 11:00 a.m.
GI Track – Infection Prevention: 11:00 – 12:00 p.m.
GI Track – Infection Prevention: 12:00 – 1:00 p.m.
Special Event: Thursday, November 4 Lunch with Dr. Michael Greenberg: A Discussion About Malignant Hypothermia, hosted by Eagle Pharmaceuticals. Pre-registration is required in order to attend. A maximum of 40 attendees will be accepted: 12:40pm-1:40pm.
Additional WASCA Non-Member Registrations
Each additional registration is $600/registrant
Please select # of addt'l registrations
One Addt'l Registration - $600.00
Two Addt'l Registrations - $1,200.00
Three Addt'l Registrations - $1,800.00
Four Addt'l Registrations - $2,400.00
Additional Non-Member 1 Name
*
First
Last
Additional Non-Member 1 Title
Additional Non-Member 1 Company
*
Additional Non-Member 1 Address
Street Address
Address Line 2
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Additional Non-Member 1 Phone
Additional Non-Member 1 Email
*
Additional Non-Member 1 - The Administrative, GI & General Infection Prevention tracks will occur on Friday, November 5. Please indicate the presentation(s) that you wish to attend (if any). Due to restrictions on room capacity, you will need to attend the presentations that you have pre-registered for.
General Infection Prevention: 10:00 – 11:00 a.m.
General Infection Prevention: 11:00 – 12:00 p.m.
General Infection Prevention: 12:00 – 1:00 p.m.
Administrative Track: 10:00 – 11:00 a.m.
Administrative Track: 11:00 – 12:00 p.m.
Administrative Track: 12:00 – 1:00 p.m.
GI Track – Infection Prevention:10:00 – 11:00 a.m.
GI Track – Infection Prevention: 11:00 – 12:00 p.m.
GI Track – Infection Prevention: 12:00 – 1:00 p.m.
Special Event: Thursday, November 4 Lunch with Dr. Michael Greenberg: A Discussion About Malignant Hypothermia, hosted by Eagle Pharmaceuticals. Pre-registration is required in order to attend. A maximum of 40 attendees will be accepted: 12:40pm-1:40pm.
Additional Non-Member 2 Name
*
First
Last
Additional Non-Member 2 Title
Additional Non-Member 2 Company
*
Additional Non-Member 2 Address
Street Address
Address Line 2
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Additional Non-Member 2 Phone
Additional Non-Member 2 Email
*
Additional Non-Member 2 - The Administrative, GI & General Infection Prevention tracks will occur on Friday, November 5. Please indicate the presentation(s) that you wish to attend (if any). Due to restrictions on room capacity, you will need to attend the presentations that you have pre-registered for.
General Infection Prevention: 10:00 – 11:00 a.m.
General Infection Prevention: 11:00 – 12:00 p.m.
General Infection Prevention: 12:00 – 1:00 p.m.
Administrative Track: 10:00 – 11:00 a.m.
Administrative Track: 11:00 – 12:00 p.m.
Administrative Track: 12:00 – 1:00 p.m.
GI Track – Infection Prevention:10:00 – 11:00 a.m.
GI Track – Infection Prevention: 11:00 – 12:00 p.m.
GI Track – Infection Prevention: 12:00 – 1:00 p.m.
Special Event: Thursday, November 4 Lunch with Dr. Michael Greenberg: A Discussion About Malignant Hypothermia, hosted by Eagle Pharmaceuticals. Pre-registration is required in order to attend. A maximum of 40 attendees will be accepted: 12:40pm-1:40pm.
Additional Non-Member 3 Name
*
First
Last
Additional Non-Member 3 Title
Additional Non-Member 3 Company
*
Additional Non-Member 3 Address
Street Address
Address Line 2
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Additional Non-Member 3 Phone
Additional Non-Member 3 Email
*
Additional Non-Member 3 - The Administrative, GI & General Infection Prevention tracks will occur on Friday, November 5. Please indicate the presentation(s) that you wish to attend (if any). Due to restrictions on room capacity, you will need to attend the presentations that you have pre-registered for.
General Infection Prevention: 10:00 – 11:00 a.m.
General Infection Prevention: 11:00 – 12:00 p.m.
General Infection Prevention: 12:00 – 1:00 p.m.
Administrative Track: 10:00 – 11:00 a.m.
Administrative Track: 11:00 – 12:00 p.m.
Administrative Track: 12:00 – 1:00 p.m.
GI Track – Infection Prevention:10:00 – 11:00 a.m.
GI Track – Infection Prevention: 11:00 – 12:00 p.m.
GI Track – Infection Prevention: 12:00 – 1:00 p.m.
Special Event: Thursday, November 4 Lunch with Dr. Michael Greenberg: A Discussion About Malignant Hypothermia, hosted by Eagle Pharmaceuticals. Pre-registration is required in order to attend. A maximum of 40 attendees will be accepted: 12:40pm-1:40pm.
Additional Non-Member 4 Name
*
First
Last
Additional Non-Member 4 Title
Additional Non-Member 4 Company
*
Additional Non-Member 4 Address
Street Address
Address Line 2
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Additional Non-Member 4 Phone
Additional Non-Member 4 Email
*
Additional Non-Member 4 - The Administrative, GI & General Infection Prevention tracks will occur on Friday, November 5. Please indicate the presentation(s) that you wish to attend (if any). Due to restrictions on room capacity, you will need to attend the presentations that you have pre-registered for.
General Infection Prevention: 10:00 – 11:00 a.m.
General Infection Prevention: 11:00 – 12:00 p.m.
General Infection Prevention: 12:00 – 1:00 p.m.
Administrative Track: 10:00 – 11:00 a.m.
Administrative Track: 11:00 – 12:00 p.m.
Administrative Track: 12:00 – 1:00 p.m.
GI Track – Infection Prevention:10:00 – 11:00 a.m.
GI Track – Infection Prevention: 11:00 – 12:00 p.m.
GI Track – Infection Prevention: 12:00 – 1:00 p.m.
Special Event: Thursday, November 4 Lunch with Dr. Michael Greenberg: A Discussion About Malignant Hypothermia, hosted by Eagle Pharmaceuticals. Pre-registration is required in order to attend. A maximum of 40 attendees will be accepted: 12:40pm-1:40pm.
PROLIANCE BILLING
Yes, please bill Proliance for the cost of my meeting attendance.
TOTAL
$0.00
50% refund of registration fees available until September 6, 2021. No refunds will be issued after September 7, 2021. Transfer of registration fees to another colleague or industry member is allowed.