Transcultural Nursing Society 43rd Conference New Orleans, Louisiana-Registration Form

Welcome Reception: Wednesday, October 18, 2017 - 5:30-7:30pm

Conference: October 18-21, 2017

Are you presenting at the conference?
Yes No
Oral Poster
Name:
Organization:
Organization City:
Organization State:
Home Address:
Home City:
Home State:
Home Zip:
Contact Phone Number:
Email Address: Required
Please check box if you DO NOT want your name, organizational affiliation, city and state included on the participant list that will be available to all conference participants.

FULL CONFERENCE FEES: (If adding a membership, please pay the member rate for the conference)

Registration by: Select One On or before August 15, 2017 After August 15, 2017 to Oct 1, 2017 After Oct 1, 2017 and On-site
TCNS Member:
$450 $475 $500
Non-member:
$550 $575 $600
*Student TCNS Member:
$350 $375 $400
*Student Non-member:
$400 $425 $450
*In order to qualify for the Student status in any area, you MUST email a copy of your student ID or full-time student schedule to LeAnne Wiersing, lwiersing@madonna.edu .
Full Conference Fees Include Welcome Reception, Continental Breakfast Thursday, Friday and Saturday

DAILY REGISTRATION FEES: (If adding a membership please pay the member rate for the conference)

Registration by:
Thursday Friday Saturday
TCNS Member
$225 $225 $200
Non-member
$275 $275 $275
*Student TCNS Member
$175 $175 $150
*Student Non-member
$225 $225 $225
*In order to qualify for the Student status in any area, you MUST email a copy of your student ID or full-time student schedule to LeAnne Wiersing, lwiersing@madonna.edu .

GALA DINNER:

Thursday, October 19, 2017: 6:30-9:00 p.m.
(Advance ticket purchase required)
$60 per ticket - select the number of tickets

SPOUSE/COMPANION FEES: Individuals NOT Attending the Conference

Welcome Reception
$40
Thursday Breakfast
$25
Friday Breakfast
$25
Saturday Breakfast
$25

TRANSCULTURAL NURSING SOCIETY MEMBERSHIP DUES (New/Renewals):

Regular Membership
$100
Retired Membership
$50
*Full Time Student Membership - ID Required
$50
TCNS Scholar Dues
$50
*In order to qualify for the Student status in any area, you MUST email a copy of your student ID or full-time student schedule. Email student ID/schedule to lwiersing@madonna.edu .

Check the box if you are paying by check and mailing to our office:

If payment is coming from an organization, please indicate the name of the organization:

*If paying by check, fax or emailing your conference registration form, after clicking the continue button below, you will be able to print your registration form. After printing your form you may click the submit to send your information to the Society. When you reach the confirmation page it will provide you with the amount that is owed and allow you to print that information. You can exit the application at that point rather than completing the online payment process.

*Registrations are not active until payment is received. The date the payment is received will be used to calculate the amount due.

CANCELLATIONS & TRANSFERS: Cancellations and transfers of registrations must be requested in writing and postmarked or faxed by September 21, 2017. A $75 administration fee is assessed for cancellations and transfers. If you transfer your registration to another person, please include a completed registration form for that individual with your written request. Cancellation requests received after September 21 , 2017 are non-refundable. We will make every effort to transfer your registration to another individual after this date.

Click continue to review and print your Conference Registration form, including fee information, before continuing on to the payment section: