Please submit a form for each person you are registering. We will invoice you for payment. Please note that registrations submitted using this form will take at least 1 business day to process. Until the request is processed, the participant will not have access to the activity.

If you wish to pay by check, print a copy of the completed form and include with payment. 
Make checks payable to: University of Washington

Send to: UW Continuing Nursing Education, Box 357231, Seattle WA  98195

 

*
*
*
*
*
(City, ST, Zip)
*
Please include area code.
*
*
Choose one or more sessions:
*
*