EMS Trendsetters Conference
Registration Information


Download the official Registration Packet here.
Or... Complete this form, print it (for best results print in black and white or grayscale), and mail it with your payment to:

EMS Trendsetters
P.O. Box 95
Salem, WI 53168

All mailed registrations must be post-marked September 14th, 2009.
After that date registrations will be accepted at the door.
Name:
Address:
Phone:
Title:
Level of Care:
Email:
Department:
 
Friday September 25th, 2009 Pre-Conference Sessions
Morning Session: New Hybrids & New Car Anatomy $40.00
Afternoon Session: Ambulance Crashes & Highway Safety $40.00
Full Day Sessions: Both Morning & Afternoon $75.00
 
Saturday & Sunday September 26th & 27th, 2009 Core Sessions
Saturday Core Conference : September 26th, 2009 $125.00
Sunday Core Conference: September 27th, 2009 $75.00
Full Conference Registration: All Three Days
$80.00 Savings!		 $195.00
Two Day Conference Registration
(Please select the days you will attend.)
Friday
Saturday
Sunday		 $160.00
 
Saturday & Sunday September 26th & 27th Certification Course
EPC: Emergency Pediatric Care Course
Pre-Registration Required!		 $165.00
 
Social Events
Friday Night Karaoke at Rush Hour Pub Best Western Executive Inn FREE!
Saturday Night EMS Olympics and Party at Parkway Chateau FREE!
  Strut your stuff! Sign up your team of winners:
  Your Team Name:
Member 1 Name:
Member 2 Name:
Member 3 Name:
Member 4 Name:
(Note: All teams must have 4 members!)		 FREE!
Saturday Night EMS Olympics / Party Guest $5.00
 
Registration Total
  Calculate your total and enter here:
 
Important Note: Your information above is not saved or sent electronically. You must print this page and mail it with your payment to successfully register.
 
GROUP SPONSORSHIP / RATES are AVAILABLE
Contact Jill Torres at Jill@emstrendsetters.org
 

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