2012 Spring Conference Registration

Event Date: Friday and Saturday, March 23rd and 24th, 2012

Two Easy WayS to Register

Fill out the online registration form below. You will immediately be forwarded to PayPal so that we can process your credit card (you do not need a PayPal account).
Download the Conference Brochure and the 2012 Spring Conference Registration Form (PDF), print it, and mail or fax it to us at the information found on the form. Then you must either mail check or submit payment via PayPal.

Randy Johnson, PT, Treasurer
2904 4th Avenue NE, Puyallup, WA 98372
FAX: (253)848-8897

Contact Information:

Name & Professional Designation:

Clinic/Work Facility:

Address:

City: State: Zip:

Work Phone:

Email:

Additional Attendees:

Registeration Numbers:

Number of People: @ $375 each

Number of People: @ $225 each

Number of People: @ $500 each

Number of People: @ $425 each

Number of People: @ $75 each

Registration

Clicking 'Register Now' will take you to PayPal which will handle your conference registration payment.

Cancellations/Refunds: No refunds after March 1st. Cancelllations must be in writing to PPSIG Treasurer or via email to
scrane@applept.com