Home   |   Email Us   |   Members' Only   

Advance Attendance Registration Form

2010 Annual Fall Educational Meeting
October 22-23, 2010

Best Western Ramkota Hotel
800 South 3rd Street
Bismarck, ND 58504

For reservations call:
701-258-7700 or toll free
at 1-800-Western


Topics:This years program will include lectures pertaining to Legal Charting, Healthcare Reform, Contamination Issues and a variety of clinical topics.
We hope to see you there!

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 or money order.
Indicate Payment Type:

    
Hit 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