SDSRC presents

Annual Educational Conference

May17th - 18th, 2018

The Lodge at Deadwood, 100 Pine Crest Ln, Deadwood, SD

Name: ______

Address: ______

City: ______

State/Zip: ______

Employer: ______

Phone/Cell: ______

AARC#: ______

Email:______

Your correct email is essential as our conference has gone “green”.

You will be emailed the program for you to print on your own.

Registration Fees: Please indicate with an “x” which session or sessions you plan to attend

AARC
MEMBERS / Registration By
5/5/2018 / Registration After
5/5/2018 or on Site
Thursday, May 17th
5 CEUs; 11am to 7pm / $65 / $85
Friday, May 18th
8 CEUs; 7am to 4:30pm / $85 / $105
Both Days / $120 / $140
Students enrolled in DSU’s RC program / $25*
For 1 day or 2 days / $45*
For 1 day or 2 days
Non-AARC
MEMBERS / Registration By
5/5/2018 / Registration After
5/5/2018 or on Site
Thursday, May 17th
5 CEUs; 11am to 7pm / $180** / $200**
Friday, May 18th
8 CEUs; 7am to 4:30pm / $200** / $220**
Both Days / $235** / $255**

*Students will pay no more than $25 for entire conference, or $45 with late fee. **1 year AARC Membership included.

Total due:$ ______

Registration and payment must be received on or before 5/5/2018 to avoid late fees.

No exceptions will be made.

Please make check payable to: SDSRC

Mail registration form and payment to:

Kimberly Kuiper

8900 E Basswood Lane

Sioux Falls, SD 57110

You may also register for the conference

and pay online with a Paypal account at: ; receipts available on request.

You can reserve a hotel room by calling The Lodge at Deadwood at 877-393-5634 and mention you are with the SD Society of Respiratory Care;

The special group rate is NOT available online

Cancellation Policy:

All cancellations must be received

in writing by May 5th, 2018for full refund,

minus a $50 processing fee.

After May 5thno refunds will be granted