Medic Update Speaker Registration Form
The OEMTA and Oklahoma EMS is celebrating Medic Update and will again be visiting the Cherokee Strip Convention Center in Enid, Oklahoma. We would love to hear from you and hope you will consider submitting a topic! Please submit your topic up till February 6th, 2010 so we can include your presentation in our publications. Our thanks for your support of Oklahoma EMS!
Ray Simpson Conference Coordinator OEMTA
Speaker Information
First Name: Last Name:
Home Address:
City: State: Zip:
Contact Phone Number: Fax:
E-Mail Address:
1. Proposed Title of Presentation:
2. What will your presentation bring to the session?
3. Length of presentation: ( Most blocks are for an hour, but consideration can be accomodated for the speaker.
4. Best day of presentation:
Thursday, July 22nd Morning session Afternoon session
Friday, July 23rd Morning session Afternoon session
Saturday, July 24th Morning session Afternoon session
Any time during the conference.
5. Target Audience:
General Basic ALS Citical Care Instructor/Coordinator Admin/Management
6. Will there be any Handouts? ( All handouts will need to be presented to the OEMTA speaker coordinators prior to the conference to assure duplication. General sessions should consider quantity).
7. Either a room of a speakers fee is provided for each speaker. Will you need accomodations the night before, or the night of your talk. We need to know in advance if you will need a room as the facility is usually booked out.
Room on the night of
Honorarium $75.00
Donate honorarium to the OEMTA
8. Will you need any special equipment to present your talk?
Overhead Presentation
Power Point Presentation
I need a laptop ( we suggest that you bring your own if possible).
I need an LCD projector
Special Audio
