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Online Registration and Membership Enrollment

 

You may register for the 2012 Symposium either online or via postal mail.  To do so by postal mail, download the registration brochure and send the registration form, with your payment, to:

WSTRA Symposium Registration

PO Box 1395

Duvall, WA 98019

Postal registrations must be postmarked no later than Friday, 4/13/2012.

 

To register for the Symposium online, you will complete seven steps:

1.  Complete the following information.

2.  Click the Send button to electronically send your information to our Symposium Chair.  You will also be taken to the payment page.

3.  Click on "Professional/Supporting" or "Student" as appropriate.  You will be taken to the appropriate tuition and fees page.

4.  Add the package you indicated you are registering for to your cart.  You will need to "continue shopping" to add CEUs or the national membership discount to your cart.  If appropriate, add CEUs to your cart.  If appropriate, add the national membership discount to your cart.  When you have added all appropriate items to your cart, click on "View Cart" (if you are not already at your shopping cart).

5.  Review your order to be sure it is correct.  Once it is, click on "Checkout."

6.  Enter your billing information.  Click on "Submit."  You will be taken to PayPal to complete your Symposium payment.

7.  Once your payment is complete, you will return to the WSTRA website.

Online registrations must be completed no later than 6:00 PM Pacific time on Sunday, 4/15/2012

 

If you don't get registered by the deadline, you may register at the door.  We cannot guarantee you will be able to have any of the meal options for at-the-door registrants.

 

* Required fields

 

Contact Info

 

Please enter your nameYou may not enter more than 65 characters, including spaces

 

Please enter your current street addressYou may not enter more than 65 characters, including spaces

 

Please enter your current cityYou may not enter more than 65 characters, including spaces     Please enter your current state using the 2 letter abbreviationPlease enter your current state using the 2 letter abbreviation     Please enter your current zip codePlease enter your current 5 digit zip code

 

Please enter your primary phone numberPlease enter a valid phone number, e.g. (555) 555-5555     Please enter your e-mail addressPlease enter a valid e-mail address, e.g. jdoe@domain.com

 

 

Practice Info

 

 *Credentials (select all that apply):
Please select at least one choice for CredentialsPlease select only 1 - 3 choices for Credentials

 

You must enter your facility or school.  If you are not employed or going to school, enter "None".You may not enter more than 65 characters, including spaces

 

 *Position (select all that apply):

Please select at least one choice for Position Please select only 1 - 9 choices for Position

    If you checked "Other", please indicate what other position you hold:
   

 

 *Practice Area (select all that apply):




Please select at least one choice for Practice Area Please select only 1 - 18 choices for Position

    If you selected "Other", please indicate what other area you practice in:
   

 

 

 Membership Info

 

 A benefit of Symposium attendance is WSTRA membership beginning April 20, 2012 and ending June 30, 2013.  Please complete the following Membership Information.

 

 Please indicate if you are a current (membership expires in June 2012) WSTRA member:

   
   
Please select if you are or are not a WSTRA member

 

 

       

 

 

 *Mentorship Program (select one):



Please make a selection as to whether or how you would like to be part of the Mentorship Program

 

 *I would like to assist WSTRA in the following ways (select all that apply):




















Please select at least one choice for WSTRA assistance Please select only 1 - 19 choices for WSTRA assistance

 

 *Information Privacy (select one):




Please make a selection as to your Information Privacy choice.

 

 *Membership Category (select one):




Please select your Membership Category.

 

 

Registration Info

 

 *I am registering as (select one):

You must select whether you are registering for the Symposium as Professional/Supporting or Student.  You may select "Student" only if you are enrolled at least half-time in an accredited TR curriculum.

 

 National Membership:

   If you desire to claim a membership discount on your tuition and fees payment for your current membership in ATRA, you MUST indicate your ATRA membership number:

 

 *During the Symposium, I would like to help (select all that apply):
Please select at least oneYou may select up to two

 

 *PACKAGE (select one):

 

  Professional/Supporting

   
 
   
 
   
 
   
 
   
 
  Student:
   
 
   
 
   
 
   
 
   
Please make a selection of Symposium Package.
 

 *PRE-SYMPOSIUM SESSIONS (select one):

   
   
   
Please make a selection regarding if or which Pre-Symposium Session you desire.

 

 *CEUs (select one):

   
   
Please select if you do or do not want to earn CEUs.

 

 *PRE-SYMPOSIUM LUNCH (select one):

 If you are attending a Pre-Symposium session and desire a box lunch after the session and before the Symposium begins, please select your choice, otherwise select "I will not need a Pre-Symposium Box Lunch".  The box lunch is an additional $12 charge and you must select the box lunch option when you pay your fees.  All choices are sandwiches built on fresh bread with cheese, lettuce and tomato and served with chips, fruit, cookie and bottled water (select one):
Please make a selection as to whether you desire a box lunch after the Pre-Symposium session or which lunch you would like.  The lunch is an additional $12.

 

   

 

   

 

 

When you click the Send button, your information will be submitted and you will go to the Symposium Tuition and Fees Payment page.  If this page continues to appear, then there are most likely errors in the information you entered above.  Please scroll up to locate and fix the errors, then try Sending again.  Also, some computers, such as those owned by the State of Washington, may be blocked from sending data over their network.  If you think this may be the issue, please try a different computer or register by postal mail.  You are also welcome to contact the Webmaster for further assistance.  Thank you.

 

     

 

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