Membership Application

Join Oregon’s professional association for prehospital providers.

Name *

First

Last

User name for the website *

Suggest First.Last

Email *

Which Agency or Department do you work for

What is your level of medical training?

Which benefits interest you most?

Conferences with continuing education opportunities
Current events in Oregon EMS via newsletter
Certificated classes like PHTLS
Other (email us with your ideas!)

1-year membership to Oregon EMS Association *

Price: $25.00

Payment may be made via secure credit card transaction below via Stripe, or you may mail a check payable to Oregon EMS Association,2459 SE Tualatin Valley Hwy, Box 194 Hillsboro, Or 97123. Membership will be pending until payment is received.

Mailing List?

Stripe Credit Card

Card

Name on Card

Please register online and if paying by check, send Payment to: Oregon EMS Conference, 2459 SE Tualatin Valley Hwy, Box 194 Hillsboro, Or 97123