Confronting the Global Threat: Bioterrorism Agents/Diseases Symposium

Radisson Valley Forge

1160 First Avenue, King of Prussia, PA 19406

610-337-2000 – Radisson Valley Forge/Valley Forge Casino

Eligible Attendees

Physicians, registered nurses, emergency medical services, emergency management personnel, law enforcement and educators

Course Information

Date / Thursday, October 22, 2015
Time / Registration: 7:30 a.m. – 8:45 a.m.
Program: 8:45 a.m. – 3:00 p.m.
Training Location / Radisson Valley Forge, King of Prussia, PA
Registration Cost / None

Submission Information (All sections require information)

First Name / Click here to enter text.
Middle Initial / Click here to enter text.
Last Name / Click here to enter text.
Title / Click here to enter text.
Organization/Employer / Click here to enter text.
Identify Continuing Education
ü  (Check one that applies) / Ø  Continuing Medical Ed. (physicians) ☐
Ø  Continuing Ed. Credits (EMS) ☐
Ø  Act 48 Credits (educators) ☐
Ø  Act 58 Credits (registered nurses) ☐
Telephone Number / Click here to enter text.
Email Address / Click here to enter text.

Form Submission

ü  Please make sure your e-mail address is legible.

ü  Completed forms may be emailed to WMD VF Registration or faxed to 717-214-1298.

ü  You will receive a confirmation email upon receipt of your registration form.