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(Information received after June 1, 2010 an additional fee of $10.00 will be added.)
MoSALPN Registration and Awards Luncheon . . . . . . . . . . . . . $100.00 _________
(LPN and Sustaining Members)
Registration and Awards Luncheon . . . . . . . . . . . . . . . . . . . . . . . . $85.00 _________
(Associate Member 65 and over)
Registration and Awards Luncheon . . . . . . . . . . . . . . . . . . . . . . . $125.00 _________
(Non-MoSALPN Member)
Awards Luncheon Guest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $25.00 _________
Total amount enclosed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $_________
Name ___________________________________________________________
Address _________________________ Phone (____)_______________
City, State, Zip _________________________________________________
Cancellation Notice: Upon receipt of a written request MoSALPN will issue your registration fee less a $25.00 processing fee, if received before June 4, 2010.
Student Registration will be sent to the school.
Mail payment to:
MoSALPN
P.O. Box 105542
Jefferson City, MO 65110
ROOM RESERVATIONS MUST BE MADE THROUGH HOTEL
Holiday Executive Center
2200 I-70 Drive SW
Columbia, MO 65203
573-445-8531
If you should encounter any problems, call the State Office and let us know. We will stay with this program unless we have a problem with the speaker's schedule.
