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MSNA 2011-2012 State Convention
February 25th-26th, 2012

Billings, Montana

Pre-registration Form

Copy and Paste Information Below into a word document to print out and send

Montana Student Nurses Association

Annual Convention

Billings Clinic

801 N 29th St, Billings, MT  59107

Saturday February 25^th and Sunday February 26th

Pre-registration:

NSNA Member: $35       Non-member: $40

At the Door and after Feb 1^st:

NSNA and Non-member: $45

Lodging Information

Riversage Billings Inn

880 N. 29th St.

Billings, MT 59101

Rooms are $55 per night

Rooms can hold up to 4 people

Make reservations prior to by contacting:

1-800-231-7782

*No refunds will be given for registration of Convention.

_______________________________________________________________________

Keep top half for your information

Student Pre-Registration Form

Please send completed form along with a check/money order

Made out to:

Montana Student Nurses Association

Postmarked no later then

February 1, 2012

to:

MSNA c/o

Attn:    Bethany Ulsh

1601 W Central Ave

Missoula, MT  59701

Name:______________________________________________

MSNA Number:______________________________________

Non-member leave blank

Phone:______________________________________________

Email:______________________________________________

School:______________________________________________

Schedule to come.