Global Health Conference and Annual Membership Meeting

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Date: Saturday 4/29 2023 Registration ends midnight Wednesday April 26.

Time: 8:00am -1:00pm

Location: University of Washington Tacoma William Phillip Hall

Cost: $35; Students $20 Includes lunch

See below with PayPal link

Email *

Your name *

Worksite

Mobile phone number *

Please select all of your roles below. *

Direct client care role in a healthcare facility

Nurse educator role in a healthcare facility

Manager/administrator role in a healthcare facility

Direct client care role in a community setting

Nurse educator role in a community setting

Manager/administrator role in a community setting

Retired

Other:

Required

My Sigma member category is: *

Member

Non-member

Student

Scan the QR code below or click on the link to pay the registration fee which includes a Northwest Brunch. Tickets: $35 each or $20 for students. You will receive a link to order your $20 (included in the registration fee) delivered lunch from Panera

paypal.me/CIW2022

Remember to return to this form and order your lunch then click on SUBMIT after payment.

Thank you.

I have paid through PayPal for an individual registration

I have paid through PayPal for a student registration

Now that you have registered, click on the link below and order your lunch from Panera. Please limit your order to $20 (included in your registration fee). Water and soda will be provided at the conference, so you do not need to order those from Panera.

Be sure to return to this form so you can click on SUBMIT which will complete your registration.

https://www.panerabread.com/en-us/app/join-group-order/2YL125U

I have ordered my lunch from Panera

I choose not to order a lunch

Submit

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