PEDS CONFERENCE REGISTRATION FORM This form may be duplicated. The Fast & The Feisty Trauma Care Across the Ages June 6, 2002 Tucson Hilton - East

Name: Address: City, State and Zip: Provider Level:      RN        CEP        EMT-I       EMT-B RN License #: Registration Fee:        $30 for nurses        $25 for EMS (includes lunch, breaks, CE) SATNET Members receive a $5 discount Include Check or money order payable to SATNET with this form and return to: SATNET PO Box 43818 Tucson, AZ 85733-3818 Registration after June 1st or at the door is $35. No refunds available after June 1st.