2025 WA Clinical Lab Conference Registration

Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email

example@example.com

Facility

Number of Registrants*

Fee

If you are registering more than one person, please upload a file with their names and email addresses. This will allow us to contact them with the access information for the conference.

The file may be a Word Document or an Excel Document.

If you are paying by credit card, please complete the credit card fields that come up.

Upload File of registrants if registering more than one person

Payment Type

Credit CardCheckDOH/Committee

If Paying by check, please make the check payable to ASCLS-WA and send it to

Leonard Kargacin
PO Box 117
Mount Vernon, WA 98273

DOH staff and committee members are complimentary.

Registration for Conference using credit card

USDDescription

Credit Card

WA Clinical Laboratory Conference

Credit Card