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The Penrose-St. Francis Trauma Services Annual Symposium on Trauma & Critical Care
Date:
Friday, May 3, 2013
Time: 7 a.m. to  5 p.m.
Location: Colorado Springs Marriott 

The annual symposium offers national and local faculty with a range of trauma and critical care topics for pre-hospital, nursing, physicians, and military professionals.

Participants and exhibitors can register using the form below or by calling 719-776-5926. After you submit the registration form, you will see a link to proceed to payment in order to complete the registration process.

*If your conference fee is being paid for by your department or agency, DO NOT register online, please contact us for registration procedure. 719-776-5926 or E-mail:
sherrierozwick@centura.org



* Indicates required information
I am registering as: * 

First Name * 
Middle Name 
Last Name * 
Mailing Address * 
Address Line 2 
City * 
State * 
Zip * 
10-Digit Phone Number (xxx-xxx-xxxx) * 
Email Address * 
Credentials * 

If Other, please specify:

For Centura Health Associates: Please select your entity 

If Other, please specify:

Non-Centura Associates: Please select your hospital facility or agency: 

If Other, please specify:

Professional License Number (If none please enter 0) * 
Please select your specialty area: * 

If Other, please specify:

Meal Choice * 


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