minnesota ems medical directors association > Vendor Support

minnesota ems medical directors association

Go to...

Home
Accommodations
Board
Advisory Group
Conference Registration

Select the search type

Site
Web

Search

Home
Accommodations
Board
Advisory Group
Conference Registration

Select the search type

Site
Web

Search

Downloads

Solicitation
Support Prospectus
Support Level Definitions

Minnesota EMS Medical Directors Association
c/o Robin Hoppenrath, Executive Director

HPS Executive Group, LLC
P.O. Box 1012
Anoka, Minnesota 55304
763.222.6005

Our Partners:

MN Ambulance Association

MN EMS Honor Guard

MN EMS Regulatory Board

Complete your vendor support and registration completely online!
Organization Name

Address

Street Address
Street Address 2
City	State / Province
Postal / ZipCode	Country

What level of support are you providing?
Major Support - $2,000
Platinum Support - $1,500
Gold Support - $1,100
Silver Support - $750
Non Profit Organization: Must be pre-approved to qualify - $350
Comments
You can register up to 5 people to staff your booth.
Primary Contact/First Attendee
Name

First Name
Last Name
Phone
Area CodePhone Number
Email

Address - if different than the organization's address

Street Address
Street Address 2
City	State / Province
Postal / ZipCode	Country

Are you registering a second person?
No
Yes

Second Attendee
Fullname

First Name
Last Name
Phone
Area CodePhone Number
Email

Address - if different than the organization's address

Street Address
Street Address 2
City	State / Province
Postal / ZipCode	Country

Are you registering a third person?
No
Yes

Third Attendee
Fullname

First Name
Last Name
Phone
Area CodePhone Number
Email

Address - if different than the organization's address

Street Address
Street Address 2
City	State / Province
Postal / ZipCode	Country

Are you registering a fourth person?
No
Yes

Fourth Attendee
Fullname

First Name
Last Name
Phone
Area CodePhone Number
Email

Address - if different than the organization's address

Street Address
Street Address 2
City	State / Province
Postal / ZipCode	Country

Are you registering a fifth person?
No
Yes

Fifth Attendee
Fullname

First Name
Last Name
Phone
Area CodePhone Number
Email

Address - if different than the organization's address

Street Address
Street Address 2
City	State / Province
Postal / ZipCode	Country

Method of Payment
Mailing us a check
*****If you are mailing a check, make the check payable to:

MN EMS Medical Directors Ass'n

and mail it to us at:

HPS Executive Group

PO Box 1012

Anoka, MN 55303

.
Credit Card
By checking this box you authorize us to bill your credit card and agree to make payments according to your agreement with card issuer.
Confirmations/Cancellations Policies:

Please register for the conference as EARLY as possible.

Registrations will be confirmed via e-mail. Registrations received after August 25th WILL NOT be confirmed in writing.

If canceled, the registration fee, minus a $50.00 processing charge, is refundable if notice of cancellation is received by August 22nd.

No refunds will be made after August 22nd.
Acknowledgement
I Acknowledge Receipt of the conference Confirmations and Cancellations Policies
When you click submit, you will be taken to our payment page. If you are mailing a check, simply close your browser AFTER you get to the payment page (do NOT close your browser before clicking on submit).

minnesota ems medical directors association. all rights reserved. : Terms Of Use : Privacy Statement

Login