REGISTRATION FORM: MNA NATIONAL NURSES DAY CELEBRATION - MAY 6, 2008

To register for the event and to reserve a seat on the bus, please fill out this form and press submit, or call 888.662.0411. Seating is limited. Registration will be on a space available basis and will close once capacity is reached. MNA will call you to confirm your registration.
Name:
RN	Student Other (specify)
Address:
City:	State: Zip:
Telephone:	Daytime Evening
Place of employment:
Reserve a seat on the bus:	Yes No