ISRC Annual State Conference
Dates: September 26 - 27, 2019
Location: Red Lion Hotel Downtown Boise, ID
ISRC Hotel deals available at the Red Lion Hotel Downtown. Call 208-344-7691 Ext.0 to book!
For more information, please check out our website:
https://idasrc.org/
Please complete this form to register for the Conference! please email
camillestover@boisestate.edu
with any questions or issues.
Payment Options:
Checks may be addressed to the Idaho Society for Respiratory Care and mailed to:
Boise State University
Department of Respiratory Care
950 S Lusk St
Boise, ID 83725
Online Payment available through Square. Cards, Checks and Cash payments available at the conference.
* Required
Email address
*
Your email
What days will you be attending?
*
Member One-Day: $75 Member Two-Day: $130 . Non-member One-Day: $85 . Non-member Two-Day: $145 . Student: One-Day $25 . Student: Two-Day $40
Thursday, September 26
Friday, September 27
Both Days
Name (Last name, First Name)
*
Your answer
Are you an AARC member?
Yes
No
Clear selection
AARC # (if a member)
Your answer
Job Title
*
Staff Therapist
Nurse
Physician
Student
RT Manager
Faculty at Boise State
Clinical Instructor at Boise State
Faculty at Steven Henager
Faculty at ISU
Other:
Required
Place of Employment
If you are a student please put the program that you attend.
Your answer
Street Address
Your answer
City, State, Zip Code
Your answer
Phone Number
Your answer
Would you like to pay via Square?
A Square Invoice will be sent to the email provided above. Square Card reader will be available at the conference.
Yes
No
Clear selection
A copy of your responses will be emailed to the address you provided.
Submit
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