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Payment Options

To mail payment:

Send a check (payable to "WestPac") to:

Alana Carson
Schwabe, Williamson & Wyatt
1211 SW 5th Ave.
Suite 1900
Portland, OR 97204

To use PayPal:

Submit the online form. Then select the PayPal button below.

PayPal - The safer, easier way to pay online!

2012 WestPac Annual Meeting

October 18 – 20, 2012
Salt Lake City, Utah

Click here if you prefer to print and mail your registration form.

Register Online

* = Required

Personal Information

Full Name: *

Name to Print on Badge (if different):

Institution: *

Mailing Address: *

Email Address: *

Telephone:

Registration Options

Fee includes all meals, breaks and program materials.

Early Bird Registration (until October 1, 2012)

Member - $175
Non-Member - $195
Retired or Student - $135

Per-day Registration

Friday only (includes 2 breaks + lunch) - $75
Saturday only (includes 1 break) - $25

Full Registration (after October 1, 2012)

Member - $195
Nonmember - $210
Retired or Student - $155

Add Meals for Non-registered Family or Guests?

Thursday evening reception - $18
Friday breakfast - $28
Friday lunch - $32
Saturday breakfast - $19

Add Other Activities?

Pre-conference tour of the Utah State Library - free
Post-conference excursion to the Bingham Copper Mine - $2

How many guests will accompany you? (Please indicate the number per event, if it varies.)

Other Email: Is there another person who should receive a copy of the confirmation email? If so, enter that email address here.

Payment Information

Payment must accompany registration. If you register by mail, include a printed copy of your registration with a check payable to WESTPAC. If you register online, submit the online form AND select the PayPal button to complete the payment process.

Total additional fees (if any -- do not enter the actual registration amount here): $

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