38th Annual Meeting Registration Form

WVS Member? *
Registration Type: *
Do you wish to register family members or guests? *
Guest registration includes WVS banquet, WVS family dinner and breakfasts. Please enter the number of guests you wish to register below:
I understand that by registering for this event, and signing below, I hereby grant Western Vascular Society and Surgical Conference Solutions the absolute and irrevocable right and permission, in respect of the photographs and/or video taken of me, to use, re-use, publish, and re-publish the same in whole or in part, individually or in conjunction with other photographs or video, and in conjunction with any printed matter, or electronic matter, in any and all media now or hereafter known, and for educational and/or marketing purposes. *
Please email admin@surgicalcs.com
or call Heather Roderick at (360) 420-6906