* 1. Will you be attending one of the SD Mission: Lifeline 12 lead training opportunities on November 15th and/or the Mission: Lifeline conference on November 16th?

2. If you are planning on attending the SD Mission: Lifeline 12 lead training on the evening of November 15th, please indicate which session.

3. Have you had Mission: Lifeline 12 lead training in the past?

* 4. Please enter your contact information

5. All Agencies/Hospitals are invited to present a Poster or Storyboard on STEMI related improvement projects or case studies. Poster/storyboard viewing will have scheduled times on the agenda. Tables will be available based on response. Are you planning on displaying a Poster or Storyboard?

6. Comments or questions?

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