Nurses Expo Registration Form (Undergrads)

Name*
First Last
Credentials*
Home Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Personal Email*
Work Email*
School (Current Undergraduates Only)*
Employer (Optional)
T-Shirt Size (Allmade Unisex Tri-Blend - Must Submit by April 19th)*
- XS
- S
- M
- L
- XL
- 1XL
- 2XL
- 3XL
- 4XL
Registration Fee (Pre-licensure/Undergraduate Students, No CE Credit)*
Price:
Does not include Continuing Education hours or SNN membership.
Online Payment Fee*
Price:
Credit Card
Card Details
Cardholder Name