Oregon EMS Vendor Application

Vendors at the Oregon EMS Conference have the opportunity to interact with the largest contingent of Oregon Prehospital Providers in one location

Company Name

Area Representative

Email *

Billing Address

Address Line 1

Address Line 2

City

State

Zip Code

Business Phone

Cell or Direct Phone

Do you need a PDF'd invoice?

Vendor Opportunities *

Single Booth, 10'x10' - $ 499.00
Double Booth, 16'x10' - $ 899.00
Vehicle Space - $ 749.00
Provide Packet Materials (only) - $ 119.00

Total

$ 0.00

Mailing List?

Please add me to your email list

Stripe Credit Card

Card

Name on Card

If sending a check, please indicate the account holder's name & date check will be mailed. Please send checks to: Oregon EMS Association, 2459 SE Tualatin Valley Hwy, Box 194 Hillsboro, Or 97123.