National Alaska Native American Indian Nurses Association
2017 Conference Registration Form
Name/Credentials:
Your answer
Position:
Your answer
Department:
Your answer
Institution:
Your answer
Street Address (city, state, zip)
Your answer
Email:
Your answer
Phone:
Your answer
Cell:
Your answer
Amount Included with Registration:
*Students may be eligible for a scholarship for conference fees
Cancellation Policy:
Must be received before May 15 and submitted in writing. NANAINA refund charges a $100 processing fee. There will not be a refund for cancellations submitted after May 15. If you cannot attend the conference, please send a representative in your place.
Hotel/Lodging Information:
St. Catherine Dorm Suites (3-4 bedroom suites)
$40.00 per person per night (no housekeeping available). Dorm fee must be included with conference registration.
Please include the number of individuals and nights you plan on staying. The dorms are within walking distance to the conference. (Hotels available within the area but are not within walking distance.)
Make checks payable to:
National Alaska Native American Indian Nurses Association
Registration and fees can be mailed to:
Mike Snesrud, NANAINA Treasurer
418 Russell Drive South
Holmen, WI 54636
Or email and pay via PayPal: (Add 1.5% surcharge)
Misty Wilkie, PhD, RN, NANAINA President
mwilkie@bemidjistate.edu
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