3rd Quarter Meeting: September Registration

Maine Emergency Medicine Leadership Summit

📅 Date: September 14, 2026    |    📍 Location: Harraseeket Inn, Freeport, Maine    |    🕒 Time: 7:00 AM – 3:30 PM

We look forward to seeing you at the 3rd Quarter Membership Meeting — Emergency Medicine Leadership Summit!

Agenda (Coming Soon) |  Reserve a Room (Coming Soon)

Join us for an engaging program with high-profile speakers, along with sessions focused on leadership, innovation, and the future of emergency medicine.

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Name *

First

Last

Email *

Phone *

Primary Hospital *

🏢 Are You The Department Director? *

• Yes
• No

✏️ Name of the department director

Credentials (check all that apply *

• MD
• DO
• FACEP
• PA-C
• MPH
• MBA
• RN
• Other

Other, please add credentials here.

📝 Registration - This Is An In Person Event Only

🌱Dietary Restrictions: this event includes breakfast, snacks and lunch. If you have a dietary restriction, please let us know by August 18, 2026.

Registration Type *

• Physician - $100.00
• Advanced Practice Provider (APPs) - $85.00
• Resident or Medical Student - $0.00

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💳 Payment & Summary

Please note: the registration fee for this event includes the cost of your meals throughout the day. Physicians $100.00 | Advanced Practice Provider (APPs) $85.00 | Resident or Medical Student $0.00

Select Payment Type: *

• Pay by Credit Card
• Pay by Check

Paying By Check:

Make checks payable and mail to:
Maine Chapter ACEP, PO Box 190, Manchester, ME 04351

Attention: Sarah Nelson

Tax ID #:  23-7147403

Stripe Credit Card *

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