Advance Attendance Registration Form

2012 Annual Spring Educational Meeting
April 20-21, 2012
Ramada Plaza Suites & Convention Center
Fargo, North Dakota

Ramada Plaza Suites & Convention Center
1635 42nd Street SW
Fargo, ND 58103

For reservations call:
701-277-9000

Topics: This year's program will consist of a hands-on Airway on Demand Workshop, lectures pertaining to OB Anesthesia, the business of Anesthesia, AANA Update and more!

Note: Please enter your information as you would like it to appear on your name card.

First
Last
ANA#	Status
Facility
Address
City	State Zip
Contact Phone	Example: 701-000-0000
* Email
	Planning on attending Saturday lunch? Please choose yes or no.

Please choose the appropriate Registration Fee using the drop down menu.

Please note that payment must be made by cash, check, money order or Paypal.
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Please click the Submit Button Only Once

Mail Payment and Registration Form:
North Dakota Association of Nurse Anesthetists
P.O. Box 1755
Bismarck, ND 58502-1755
701-221-7797