17th Annual SERTAC "Cutting in Edge in Trauma" Conference Registration Form with Payment

SERTAC Conference Registration 17th Annual Cutting Edge in Trauma Friday, October 9th, 2026
Registration Starts at 7AM
Conference Starts at 8AM
LOCATION : Waukesha County Technical College

800 Main St

Pewaukee, WI 53072
Refund Deadline is Sept. 18, 2026.

NO REFUNDS after this date

Cost is $40 from now until Sept 18th. After Sept 18th the cost will be $50.

FREE PARKING

Please Complete Registration below

* Required for registration
Full Name

First NameLast Name
E-mail
example@example.com
Phone Number
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Hospital/Agency Name
Dietary Restrictions, If Yes type what restriction

Yes
Medical Licensure

Other
Payment Options

Conference After Sept 18th

$50.00

Total

SERTAC Conference Registration 17th Annual Cutting Edge in Trauma Friday, October 9th, 2026