Home
About AEMS
Contact Us
2011 AEMS Membership – Individual
Contribution
Please Check Your Contribution Level
$100
$75
$50
$25
EMS Odyssey Scholarship Fund
$250
$200
$100
$75
$50
$25
A fund has been established to support those Central Region EMS professionals in need so that they may attend the 2011 EMS Odyssey Conference. Priority will be given to eligible candidates from rural areas. Our goal is to cover the registration fee and one night’s hotel stay (room only) for all eligible recipients. The approximate value of a full scholarship is $250.
Total Fee(s)
Email Address
*
Individual Information
First Name
*
Last Name
*
Address
*
Phone
*
Fax
EMS Title - Position
Anonymous?
Yes
No
(
clear
)
Check if you prefer to be listed as an Anonymous Supporter
© 2012 Arizona Emergency Medical Systems All Rights Reserved
