2018 Sigma Theta Tau Region 8 Conference Registration

The Honor Society of Nursing
Sigma: Global Nursing Excellence
2018 Region 8 Conference

September 27 to September 29, 2018
Renaissance Mobile Riverview Plaza Hotel
Mobile, Alabama

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100% of survey complete.

Renaissance Mobile Riverview Plaza Hotel for 109.00 USD per night + 14% tax; Parking $12 per day
Hotel Booking Deadline is September 2, 2018.

Book your group rate for Sigma Theta Tau Region 8 Conference Link to Hotel

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* 1. Registration Fee Information: The conference registration fee includes the welcome reception on Thursday evening, September 27th, one full day (Friday, September 28th ), and a half day (Saturday, September 29th). Conference registration fees include conference attendance, welcome reception on Thursday night, Continental Breakfast on Friday and Saturday morning, and lunch on Friday and Saturday. *Please note that we are unable to offer a reduction in the registration fee for those wishing to attend partial days of the conference. Early Registration deadline is August 31, 2018.

$400.00 - Late Registration fee after August 31, 2018

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* 2. Please fill out the following information in the space provided:

Last Name:

First Name:

Title/Credentials:

Affiliation/Employer:

Address:

City:

State:

Zip Code:

Phone:

E-mail:

Your Sigma Chapter (Complete)

Active/Inactive (Complete)

Membership Ambassador (Y or N)

New Member - within one year of induction (Y or N)

Student: (Y or N) and if Undergraduate or Graduate (either Masters or Doctorate)

Program Planning Committee Member (Y or N)

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* 3. Do you plan to attend the welcome reception on Thursday night?

Yes

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* 4. What name do you want on your name badge? Please include credentials for your name badge.

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* 5. I understand that completing this registration form does not fully register me for the conference. I must pay through institutional check (no personal) or PayPal within the next 10 days or my registration will be canceled.

Yes

If you are paying through institution check, please mail check within the next 10 days to:
Dr. Kristina Miller
University of South Alabama College of Nursing
5721 USA Drive North
HAHN, Room 4047
Mobile, AL 36688-0002

If you wish to pay via paypal please click on the following link:
https://www.paypal.me/sigmaregion8

*Payment via either institution check or PayPal must be made within 10 days of registration or the registration will be cancelled*

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* 6. I need to request an invoice to give to my institution for payment:

Yes

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* 7. If you answered yes to #6, to whom should the invoice be made out to?

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* 8. Do you have food restrictions? If yes, please list

Yes

Other (please specify)

Thank you for registering for the 2018 Region 8 Conference! If you have any questions regarding the registration process, feel free to contact Dr. Dana Walker, Region 8 Conference 2018 Registration Co-Chair at:
dewalker@muw.edu

***PLEASE NOTE*** YOU MUST GO TO PAYPAL AND COMPLETE ITEM TWO (PAYMENT). Use the link below to go to PAYPAL
PAYPAL Link for Region 8 Conference Registration