2019 MNHSWA Fall Conference
***YOU MUST COMPLETE A REGISTRATION FORM!!! (Online or Mail) JUST PAYING ONLINE DOES NOT COUNT AS THE REGISTRATION***

Conference Dates: October 2-4 2019
Location: Grand Casino - Hinckley 777 Lady Luck Dr Hinckley MN 55037

Questions about Registration? Contact Lisa Martin at:
martinl66@hotmail.com (lower case "L" not a 1)

Conference Fee:
* Full Conference - Wednesday, Thursday and Friday - $130 member, $180 non-member, $90 Student
* Thursday-Friday Only - $115.00 Member, $165.00 non-member, $75.00 Student
* Thursday Only - $100 member, $150 non-member, $60 Student
* Friday Only - $100 member, $150 non-member, $60 Student


If you register after 9/08/2019, you will need to add a $40.00 late fee to your payment.

Registration for the conference will be closed at 10 pm 9/17/2019.

If you are paying online - please be sure to list the name(s) of the attendee(s) in the comment section on the payment page in the "Notes to seller" comment box so that we can identify the payment to the person(s) attending the conference.
To Pay Online - Click Here: (This link will also be available after you press submit)
https://mn-nursing-home-social-workers-association.square.site/
PLEASE NOTE: INTERNET EXPLORER IS NOT SUPPORTED BY SQUARE! YOU NEED TO USE EITHER GOOGLE CHROME, FIREFOX, SAFARI OR EDGE WEB BROWSERS


If you are planning to pay by Check - please make payments to: MNHSWA
Payments by mail must be received no later than 9/25/2019.
Please mail payment and copy of your registration to:
Lisa Martin
1965 25th Street
Slayton, MN 56172

For more information, clink on the link for the Conference Brochure:
http://www.mnhswa.org/Fall%20Conference%202019/2019%20Fall%20Conference%20Brochure.pdf

Email address *
First Name *
Your answer
Last Name *
Your answer
Phone Number *
Your answer
Name of Facility/School (if none, write NA) *
Your answer
Street Address of Facility/School (Home Address if N/A) *
Your answer
City *
Your answer
State *
Zip code *
Your answer
Are you a 2019 member of MNHSWA *
What Chapter are you currently a member of? *
If you have any dietary restrictions, please write them here.
Your answer
I plan to attend (Late registration fee of $40 will be added to anybody registering past 9/08/19) Registration will be closed after 9/17/2019 *
What is your total Payment? *
Your answer
How do you plan on paying? *
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service