Registration - Credit Card Payment

WI PHP Annual Conference
Oct 20, 21, & 22, 2024

Please note that membership is required for this event.
Click Here to become a member or renew your membership.

"*" indicates required fields

Name*

First Last

Nursing License*

LPN

RCS (Ventilator) Certified*

Yes

Address*

Street Address Address Line 2 City State ZIP Code

County*

Phone*

Email*

Would you like to nominate yourself or someone else for the PHP Board of Directors?

If using a credit card to pay for the conference or recertification classes, what is the name on the credit card?

This will help us make sure your registered correctly.

2024 PHP ANNUAL CONFERENCE

Dates: October 20, 21, & 22, 2024 • Location: Jefferson Street Inn 201 Jefferson Street Wausau, Wisconsin 54403

Sunday Oct 20 - CPR Recertification ($50)

Price: $50.00

Enter "1" for quantity if registering for this

Monday, October 21 Conference - ($100) includes lunch

Price: $100.00

Enter "1" for quantity if registering for this

Tues Oct 22 - Morning Conference ($50)

Price: $50.00

Enter "1" for quantity if registering for this

RCS/CPR - Tuesday Afternoon

Recertification classes - October 22

RCS (ventilator) includes pediatric and adult ($100) MUST HAVE CURRENT PEDS OR ADULT CERT

Price: $100.00

Enter "1" for quantity if registering for this

Total

Credit Card Payment

Credit Card Method

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Payments processed by PayPal - you do not need a PayPal account to use this method. Just choose Pay with a Credit or Debit card during the payment process.

Name

This field is for validation purposes and should be left unchanged.

Registration - Credit Card Payment

WI PHP Annual Conference
Oct 20, 21, & 22, 2024

Please note that membership is required for this event.
Click Here to become a member or renew your membership.

2024 PHP ANNUAL CONFERENCE

RCS/CPR - Tuesday Afternoon

Credit Card Payment

Quick Links

Quick Links

Join Us

Registration - Credit Card Payment

WI PHP Annual ConferenceOct 20, 21, & 22, 2024

Please note that membership is required for this event. Click Here to become a member or renew your membership.

2024 PHP ANNUAL CONFERENCE

RCS/CPR - Tuesday Afternoon

Credit Card Payment

WI PHP Annual Conference
Oct 20, 21, & 22, 2024

Please note that membership is required for this event.
Click Here to become a member or renew your membership.