MAPAN Spring Conference 2010
“Mind, Body, and Spirit: Improving your Work-Life Balance”
May 1, 2010
Soaring Eagle Casino & Conference Center
Mount Pleasant, MI
 

Registration Form

Please print, complete and mail along with the registration fee. No online registration accepted.  (Late Registrants please call and confirm)

Name:   ______________________________ Phone: __________________________

Address: _____________________________________________________

___________________________________________________________

eMAIL Address: ______________________________________________

(Used to confirm registration)

Place of employment: _____________________________________________________

RN License Number: ______________________

ASPAN Membership # ____________________

___ RN   ____ CPAN    ____ CAPA    ____ CCRN    _____ OTHER: _______________

Payment:

Special Registration: Mail five (5) conference registrations together at the same time and all five receive a $20 discount off of conference fee.

 MAPAN/ASPAN Member     $100                                                          

 MAPAN Retired Member*     $  45                                                     Mail to:

 Non Members                         $150                                                      Aida Santos

Active Student**                      $  60                                                      1962 Sandlewood

                                                                                        White Lake, MI 48383

*Must be registered as retired with ASPAN                                           

**initial nursing program with school ID

$25 cancellation fee before 4/24/10, No refunds after 4/25/10

Late Registrations Call:  Aida Santos at (W) 248-465-4316

Registrations will be taken at the door only if space is still available.  Seating is limited so early registration is recommended.