3rd Quarter Meeting: September Registration

Maine Emergency Medicine Leadership Summit

September 22, 2025 |  Hilton Garden Inn, Freeport, Maine

2025 Agenda (coming soon)  |  Reserve a Room (coming soon)

We look forward to seeing you at the Maine Emergency Medicine Leadership Summit. This will be part of the 3rd Quater Meeting. Stay tuned for updates on the agenda and speakers. 

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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

Registration Type *

• In Person - $65.00

Our upcoming event includes breakfast, snacks, and lunch. To ensure we can accommodate everyone's needs, please let us know if you have any dietary restrictions or allergies. We will do our best to meet your dietary requirements as long as we are made aware prior to the event. Thank you for your cooperation.

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Registration Summary and Payment

Please note: the registration fee of $65.00 for our upcoming one-day event includes the cost of your meals throughout the day. We look forward to your participation and ensuring you have a pleasant experience.

Payment Type *

• Pay by Credit Card $65.00
• Pay by Check $65.00

Stripe Credit Card *

Card

Name on Card

If paying by check, make checks payable and mail to:

Maine Chapter ACEP, PO Box 190, Manchester, ME 04351

Tax ID #:  23-7147403

We appreciate your RSVP for the Emergency Medicine Leadership Summit. We hope to see you!

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