MoSALPN 2012 State Convention Registration
June 10-12, 2012
(Information received after June 1, 2012 an additional fee of $10.00 will be added.)
NOTE: MoSALPN is now accepting payment through Paypal. Please click the "add to cart" button under the appropriate choice(s) below. When you're ready to check out, click "View Cart" below and continue to the checkout option.
(LPN and Sustaining Members)
(Associate Member 65 and over)
(Non-MoSALPN Member)
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, 2012.
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
Ramada Oasis Convention Center
2546 N Glenstone
Springfield, MO 65803
417-866-5253
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.