www.emsassociates.com

39th Annual Bundle Prices and Worksheet

The SUMMIT in Salt Lake City (An EMS and Emergency Services Conference)

December 2nd-5th, 2015

Bundle Packages and Pre-Conference Sessions ** ALL Pre-Con Sessions are held on Wednesday, December 2, 2015 **

SESSION OPTIONS All Bundle Packages include the Pre-Conference Session you select

AND the Main Conference Registration for Thursday, Friday and Saturday

PRICING (Prices increase after

11/23)

TOTAL

*Spinal Immobilization from A to Z - Instructor: Ken Bouvier et al. Wednesday, December 2nd three repeating sessions offered

o 8am-11am, 11:30am-2:30pm, 3pm-6pm (limit 40 per class)

Bundle Price (Pre-Con Session AND 3 days of Main Conference): $375 A La Carte Session Price (Pre-Con Session ONLY): $155

*No Room for Air-or, COMPLETE Airway Intervention - Instructor: Scott Lail et al. Wednesday, December 2nd three repeating sessions offered

o 8am-11am, 11:30am-2:30pm, 3pm-6pm (limit 50 per class)

Bundle Price (Pre-Con Session AND 3 days of Main Conference): $375 A La Carte Session Price (Pre-Con Session ONLY): $155

*Veinously Speaking, Complete Vascular Access - Instructor: Scott Bolleter Wednesday, December 2nd Two repeating sessions offered

o 8am-12pm, 1pm-5pm (limit 36 per class)

Bundle Price (Pre-Con Session AND 3 days of Main Conference): $395 A La Carte Session Price (Pre-Con Session ONLY): $175

*Vehicle Dismemberment/Patient Handling Skills - Instructor: Salt Lake City Fire Wednesday, December 2nd Two repeating sessions offered

o 8am-12pm, 1pm-5pm (limit to be finalized per class)

Bundle Price (Pre-Con Session AND 3 days of Main Conference): $395 A La Carte Session Price (Pre-Con Session ONLY): $175

*Save A Cop, Tactical Medicine, LEO, EMS, Military - Instructor: Bill Justice, et al. Wednesday, December 2nd Offered to all Responder levels

o 8am-5pm (limit 50)

Bundle Price (Pre-Con Session AND 3 days of Main Conference): $415 A La Carte Session Price (Pre-Con Session ONLY): $185

*EMS Officers/Supervisors BOOT CAMP - Instructor: Politis Wednesday, December 2nd One session offered

o 8am-5pm (limit 50)

Bundle Price (Pre-Con Session AND 3 days of Main Conference): $415 A La Carte Session Price (Pre-Con Session ONLY): $185

**Main Conference Only - Thursday, Friday and Saturday Generals & Breakouts Bundle Price (Thursday, Friday AND Saturday) $315

Individual Day Registration (Thursday, Friday OR Saturday) $185

NOTE: If you choose a BUNDLE option, you can ADD an additional Pre-Con Session at

$40 off the A La Carte Session price(be sure that they dont conflict in timing)

Add up all of your selections and total the amounts... Sub TOTAL:

Utah State Sales Tax add 6.85% (if tax exempt, include a copy of your tax exempt letter or certificate with your registration)

TAX: (6.85%)

Total Registration Amount Total:

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Twitter: @emsassociates

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**Download the SUMMIT Series Mobile App: Search by EMS SUMMIT (Apple, Android, Blackberry)

Mail in Form Last Name:

First Name:

Street Address (Include PO Box):

City: State: Zip:

Phone: Work Phone:

E-Mail: EMS Department E-Mail:

Affiliated Title and Agency (Department)

Agency Address:

Payment Method (Select Option)

Check Enclosed Make checks payable to: EMS Associates Mail to Framework (address below)

Purchase Order Credit Card

PURCHASE ORDER # (terms = net 30 days) Company Name: Billing Address: E-Mail Address: City: State: Zip:

CREDIT CARD PAYMENT

Cardholder Name:

Billing Address:

City:

State: Zip:

Card Number:

Expiration Date and CVV code:

Authorized Signature: Contact Person: Phone: E-Mail Address (required for credit card payment):

MAIL COMPLETED FORM AND CHECK / PURCHASE ORDER

PAYMENT TO:

Framework Meetings and Destinations Attn: Registration, The SUMMIT SLC 2015

2192 E. Grandview Drive Coeur dAlene, ID 83815