Advance Attendance Registration Form

Annual Spring Educational Meeting
April 20-21, 2018

Hilton Garden Inn
4351 17th Ave South
Fargo, ND  58103

For Reservations Call:  701-499-6000 or Toll-Free at 1-800-HILTONS
Be Sure to indicate you are with NDANA!

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Last
AANA#   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.
Indicate Payment Type:

    
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