Seminar Convention Registration Form 2022

Registration for the 2022 NWBIO meeting June 17-19

Co-hosted by University of Washington Bothell and Cascadia College at our joint campus in Bothell Wa
Full Name*

PrefixFirst NameLast Name
Institution
Preferred Full Name for Name Tag
Preferred Pronouns for Name Tag
E-mail*
Phone Number

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Dietary Restrictions: Food will be prepared for a variety of restrictions, but this will help us prepare appropriate amounts

VegetarianVeganGluten FreeDairy FreeNut and Tree Allergies
I will bring a Guest to Dinner on Saturday.

NoYes, and I will pay guest fees.
Guest Name and Email if applicable.
Field Trips

Field Trips will be generally self lead. Please see NWBIO.net for more information and sign ups.
Payment information

Payment information will be collected by Pay Pal below. You can pay with a credit card, and your institution may pay for you. The form above should be filled out with the attendees information. If you need to pay by check or would like to register multiple people please contact alaron@uw.edu to arrange for registration and payment options.
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Seminar Fee$170.00

Guest for Saturday dinner$45.00

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Total $0.00

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

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Registration for the 2022 NWBIO meeting June 17-19