All EMS Women 2024 Retreat Form Retreat dates Thursday November 7- Sunday November 10 2024. Check in/out 10:00am Name(Required) First Last Email(Required) Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cell Phone(Required)Where did you hear about the Retreat? File Upload(Required)Please upload a copy of your work ID badge/ NREMT/ State EMS license. Drop files here or Select files Max. file size: 256 MB. Bed Pricing(Required) Single Occupancy King Bed: $1,090.00 Double Occupancy King Bed: $545.00 PER PERSON Twin Bed: In a Shared Room: $545.00 3.49% + 0.49 cents will be added to your total for taxes and paypal fees.Bed Options(Required) I want the single occupancy king bed all to myself for $1,090.00 I will be sharing a king bed with a friend who is also attending. We will each pay $545.00 I'm willing to share a king with another guest that I may or may not know. Each to pay $545.00 I'll take the twin bed that's in a shared room with others I may or may not know for $545.00 This will help us maximize the bedrooms/space.Bedmate(Required)Please type the name of the person you will be sharing a king bed with, write "I don't care" if you don't care, or twin if you are wanting a twin bed. Will you be coming to Wisconsin by:(Required) Car Plane Undecided Cancellation policy(Required)If you cancel for ANY reason you may or may not receive a partial refund. These will be decided on a case by case basis. I have read and understand the cancellation policy