ICU Conference Registration

Power of ICU Summer Conference Registration
July 10-11, 2025 | Nashville, Tennessee

Register your entire group or as an individual using this form. For group registrations, you do not have to enter the names of attendees to submit the registration. We will reach out to you for individual attendee information as we get closer to the conference. If you need a W-9 or have any questions, contact us at info@poweroficu.com.

Early Bird Registration (prior to April 30): $400
Regular Registration (after April 30): $450

Workshop*

Name*

First NameLast Name

School*

Position*

E-mail*

Phone Number*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Payment Method*

Early Bird Conference Registration*

How many will attend?

Payment*

Early Bird Conference Registration$400.00

How many will attend?

Total $0.00

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

PO Number*

Order Total

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