12 50% DEPOSIT DUE WITH CONTRACT Full payment due February 23, 2018  As in past years, a endees at EMS Update 2018 receive a conference program containing general informa on, course agenda, an exhibitor lis ng, and the layout for the exhibitors. The program also includes page sponsor‐ ships, providing you with an opportunity to welcome a endees to the conference. Page sponsorship costs for this 8.5 x 11, color program are: full page 8.5 w x 11 h $350 half‐page horizontal 8.5 w x 5.5 h $225 If you are interested in a page sponsorship in the EMS Update 2018 program, please contact Joe at EMS West.   There are requirements that must be met for each page sponsorship, including specific wording. The deadline  for submission of these page sponsorships is March 1, 2018.   Total Fees: (includes page 8 and page 9) _______________ The full balance is due by February 23, 2018. Make checks payable to Western Regional EMS Inc. or you can charge your fees using Visa, Mastercard, AMEX, or Discover. Account Number: ________________________________ Exp Date: ___________________ Name on Card: ___________________________ Signature: ___________________________ Zip code of card mailing address: _________ CVV code (3 digit number on back of card) _______ In accordance with the Terms and Condi ons stated elsewhere in this prospectus, the undersigned hereby makes applica on for exhibit space at the EMS Update 2018 Conference. By signing below, the applicant acknowledges that they have read the a ached terms and condi ons and agrees to be legally bound thereby. Signature: _________________________________________ Printed Name: ____________________________________ Phone # _________________________ Email address: _______________________________________________________ Title: ________________________________ Date: ____________________________ Complete and mail page 11 AND 12 to EMS Update 2018, A n: Sco  Crawford, 1002  Church Hill Road, Pi sburgh PA  15205