Intermedix EMSystems User Meeting 2011

We invite you to attend the 2011 Intermedix EMSystems User Meeting taking place September 21-23, 2011 in Milwaukee, Wisconsin.

Please complete the form below to register for the upcoming 2011 Intermedix EMSystems User Meeting.

For more details about the User Meeting, click here.

Fields with an asterisk (*) are required fields.

*Organization:

*First Name:

*Last Name:

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Intermedix EMSystems Products

Please select the EMSystems products you currently use (select all that apply):

EMResource – communications and resource management
EMTrack – multi-functional tracking
Hospital-ICS - Incident Command System
Response Manager – collaboration and notification
ESAR-VHP – volunteer management and credentialing
None – I do not currently use Intermedix EMSystems products

Accommodations

Where will you be staying?

Hotel Intercontinental
Other
If other, name of hotel:

Arrival/Departure

When will you be in Milwaukee?

Arriving September , 2011

Departing September , 2011

Meals/Events

Attendees:

Intermedix EMSystems will provide all meals during the User Meeting, to include the following:

Wednesday - breakfast, lunch, and reception/dinner
Thursday - breakfast, lunch, and event/dinner (Jazz in the Park)
Friday - breakfast and lunch

Of the following specific events, please indicate whether you are likely to attend.

Note that, by indicating Yes, you are not committing yourself to attend. This is purely for planning purposes on our end. Likewise, if you answer No at this time for any of these events and your plans change, you are still welcome to attend.

Are you likely to be attending the following events?

Please specify any dietary requirements below.

When is the Event?
September 21-23, 2011

Where is the Event?
Intercontinental Milwaukee Hotel
139 E Kilbourn Ave
Milwaukee, WI 53202
www.intercontinentalmilwaukee.com

Who should attend?
Administrators and Users of Intermedix EMSystems' Solutions

When should I arrive in Milwaukee?
The 2011 User Meeting will begin promptly following an 8:30am breakfast on September 21, 2011. We encourage all attendees to arrive on Tuesday, September 20.

Intermedix EMSystems has secured a discounted group rate at the Intercontinental Milwaukee Hotel for the nights of September 20, 21, and 22.

Please contact the hotel directly and ask for the "Intermedix EMSystems Users Meeting" to secure a discount rate.

Intercontinental Milwaukee Hotel
139 E Kilbourn Ave
Milwaukee, WI 53202
Phone: 800-971-4654