2022 Online Registration | Trauma, Critical Care & Acute Care Surgery Conference

mattox vegas tccacs ™

Trauma, Critical Care & Acute Surgery 2022

Medical Disaster Response 2022

To Register For LIVE IN LAS VEGAS.

Please, Complete The Event Registration Form Below.

Early registration rates end on 2/23/2022, so register now to take advantage of the lower rates.
Click here to see late registration rates

Conference Registration

Step 1 of 6

CONTACT INFO

To register for LIVE IN LAS VEGAS, please complete this Event Registration Form. Once successfully completed, you will receive an immediate emailed confirmation and payment receipt. Check your SPAM folder if you do not see in your inbox.

Name(Required)

First Name Middle Name Last Name (Surname, Family Name):

Email(Required)

Phone(Required)

Fax

Americans with Disabilities Act

Check if Americans with Disabilities Act is desired, you will be contacted.

Phone (ADA Desired)(Required)

Degree & Specialty

Degree(Required)

Degree, If Other(Required)

Specialty(Required)

Specialty, If Other(Required)

Address

Address Type(Required)

Home

Office

Other

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Billing Address

Billing Address(Required)

Is the same as Mailing Address

Street Address Address Line 2 City State / Province ZIP / Postal Code Country

Cancellation Policy

Refunds are available, less a nonrefundable $95 processing fee, up to March 19, 2021. No refunds will be given on requests postmarked/emailed after March 19, 2021. Please note that cancellations must be submitted in writing prior to March 19, 2021. Cancellations will not be accepted over the telephone. Upon receipt of your letter/email of cancellation, you will receive immediate confirmation. No refunds will be issued after March 19, 2021. If canceling, mail/email your cancellation request on or before March 19 to:

Mary Allen, Program Coordinator
Trauma & Critical Care Foundation P.O. Box 35850
Houston, Texas 77235
Fax: 713-796-9605
Email: Redstart@aol.com

Substitution Policy

If you wish to have another individual take your reservation, there will be a change or substitution fee of $50. Any requests for reservation changes or substitutions must be received in writing via email (to redstart@aol.com).You will receive confirmation of the request within 48 hours.

Refund/Cancellation Policy(Required)

Please click here to Agree to the Terms of the Refund/Cancellation Policy.

Estimated Hotel Arrival Date/Time

(Hotel will make every effort to expedite check-in if date provided)

Hotel Arrival Date

Hotel Arrival Time

Conference Selection

Select Conference Package(Required)

Live in Vegas: TCCACS ™(Required)

Live in Vegas: MEDICAL DISASTER RESPONSE ™(Required)

Live in Vegas: COMBO TCCACS ™ & MEDICAL DISASTER RESPONSE ™(Required)

Payment

Total

Credit Card(Required)

Card Details

Cardholder Name