Thanks to the generosity of the Central United States Earthquake Consortium and the Kentucky Ambulance Providers Association, the 2008 Kentucky EMS Conference is FREE this year. However, pre-registration is strongly encouraged since space is limited. Pre-registrations must be received by October 14, 2008.

Please print and mail this completed form to:

Kentucky EMS Conference
Air Methods Kentucky
2807 Taylorsville Rd
Louisville KY 40205

Attendee's Name: ___________________________________________

Attendee's Mailing Address: ___________________________________

City, State and Zip: _________________________________________

Registration confirmations will only be sent by e-mail. Please provide an e-mail address:

E-Mail Address: _____________________________________________

___ (please check) I wish to attend the dinner (one free dinner ticket per conference attendee who requests them).
***Important Note: Dinner tickets are only available to the first 125 conference attendees who request them (conference attendees only -- no guests). All dinner tickets not picked up by 6:15 pm on 10/16/08 will be awarded to those who requested them during registration based on their registration number (lowest number first).

No ticket is required for the reception following the dinner.