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* 1. Conference Information

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* 2. Will your association provide CNA with:

  Yes No
a free booth space
a free registration

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* 3. Deadline for CNA to confirm participation:

Date / Time

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* 4. If you want CNA to have an exhibit table at your conference, please indicate the type of information that would be useful to your members.

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* 5. If CNA staff are unable able to attend your conference, do you want to receive promotional materials?

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* 6. Please indicate which activities you would like CNA to participate in:

  CNA President CNA President Elect CNA Chief Executive Officer Certification Staff CNA Staff
Greetings at Opening Ceremony
Plenary
Concurrent Session
Pre-conference Workshop
Social Event
Certification Update
Greetings at Board Meeting
Presentation at Annual General Meeting
Presentation at Board Meeting
Written Greetings

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* 7. If a CNA executive is not available for the activity you have chosen above, do you want us to find another CNA staff to attend?

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* 8. If there are other activities you would like CNA to participate in, please provide specifics:

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