Registration Form

Please complete this form to register for the one day seminar "EMS Reporting in a Digital Age IV".  Please submit one form per person. Payment or Purchase Order must accompany the registration. Major credit cards accepted, Visa, Mastercard, American Express, and Discover.  No refunds, no substitutions accepted.

Registration closes April 27, 2015.  Register early as seating is limited.

If paying by credit card please call us at 207.223.5733.  Do not put credit card information in this form.  Thank you.

When:  April 30, 2015

Time: 8:00 a.m. - 5:00 p.m. (Registration:  7:30 a.m. - 8:00 a.m.)

Where:  Pairings Event Center, 279 S. Main St, Winterport, ME  04496

Cost: $50.00 per person to April 15, 2015, $60.00 per person after April 15, 2015

Make checks payable to T. G. Higgins Business Services.

Registration Form

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