| |
|
|
| |
|
|
| |
|
|
| |
|
|
| |
|
|
| |
|
|
| |
|
|
| |
|
|
| |
|
|
| |
|
|
| |
|
|
| |
|
|
| |
|
|
| |
|
|
| |
Date |
|
| |
|
(If you plan to attend the entire conference your discounted Conference registration fee will be $175 which inclues 1 banquet ticket and 1 brunch ticket) |
| |
Guests are non-nurses and may be registered at the $150 rate. |
| |
Guest Names |
Age
|
| |
|
Age
|
| |
|
|
| |
I require additional meal tickets. (Make your selection below and pay additional tickets in step 2.)
|
| |
President's Banquet & Gala $80 per ticket
No. of tickets
Brunch $50 per ticket
No. of tickets
Institute of Excellence $75 per ticket
No. of tickets |
|
| |
ACCOMMODATIONS |
|
| |
I do not require accommodations.
I will need a hotel reservation. NBNA will reserve a room for each registered presenter based on the information provided below. NBNA will pay one night (Room & Tax ONLY) for out of town presenters. Changes in arrival and departure dates must be made promptly.
I will make my own reservations, NBNA will pay one night (Room & Tax ONLY)
|
|
| |
If you fail to notify NBNA of cancellation of your accommodations, in writing, within 72 hours of your arrival date you will be billed for the unused reservation |
| |
Arrival Date |
|
| |
Departure Date |
|
| |
Bed Size |
|
| |
Indicate special requirements: |
|
|
| |
AIRLINE (Presenters are responsible for air travel)
|
| |
|
|