Vendor Expo Form from Carol

[Guest guest]

Vendors Expo

EMS/Trauma Registry Software and Hardware

July 12 and 13, 2000

Austin, Texas

Please complete and submit back to our office by July 2, 2001, via

e-mail or fax.

E-mail address: .Richeson@...

Fax #: 1/512/458/7666

Please complete this section if you are a RAC submitting names of attendees.

1. Name of RAC represented __________________________

2. Name and contact information of person(s) attending Expo:

Name EMS/Hospital/RAC

Contact information

1)

2)

3)

4)

Please complete this section if you are representing an individual EMS and

or Hospital entity.

1. Name of entity you are representing:________________________________

2. Name EMS/Hospital/RAC Contact

information

___________________ ______________________

________________________

Please contact our office for any questions. A list of computer hardware

and software vendors will be made available prior to the Expo.