5th Annual Leadership Symposium & EM: High Risk – Do Not Miss Personal Information First Name * Last Name * Email * Address Address Line 1 Line 1 Line 2 Line 2 City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Registration Options * Full 2-day Conference, November 5th & 6th Leadership Symposium Only, November 5th, 12:30pm -5pm High Risk – Do Not Miss Only, November 6th, 8am – 5pm Full 2-day Conference, November 5th & 6th: CO ACEP Member – $500 Non-CO ACEP Member – $750 Resident/Student – $200 APP – $500 Conference Sponsor – $400 Leadership Symposium Only, November 5th, 12:30pm -5pm: CO ACEP Member – $200 Non-CO ACEP Member – $250 Resident/Student- $50 APP – $200 Conference Sponsor – $150 High Risk – Do Not Miss Only,November 6th, 8am – 5pm: Full day, CO ACEP Member – $450 Full day, Non-CO ACEP Member – $700 Full day, Resident/Student – $150 Full day, APP – $450 Full day, Conference Sponsor – $400 Morning Lectures Only, CO ACEP Member – $150 Morning Lectures Only, Non-CO ACEP Member – $250 Morning Lectures Only, Resident/Student – $50 Morning Lectures Only, APP – $200 Morning Lectures Only, Conference Sponsor – $100 Ultrasound/NRP Simulation/Difficult Delivery Simulation Only, CO ACEP Member – $250 Ultrasound/NRP Simulation/Difficult Delivery Simulation Only, Non-ACEP member – $400 Ultrasound/NRP Simulation/Difficult Delivery Simulation Only, Resident/Student – $100 Ultrasound/NRP Simulation/Difficult Delivery Simulation Only, APP – $350 Ultrasound/NRP Simulation/Difficult Delivery Simulation Only, Conference Sponsor – $200 Registation total * Payment * Make your hotel reservations here Submit If you are human, leave this field blank.
