Online Registration Form

October 5-7, 2008
JW Marriott Hotel Buckhead
Atlanta, Georgia

Participants may register online, by U.S. mail, or fax (404) 872-1477. Staff will confirm all registrations by E-mail. Please complete and return the registration form by Septermber 22.

Registration fee for member institutions only

The fee is $325. If more than one person from the institutions attends, the fee is $225 for each additional person.

Registration fee for non-members

The fee is $375. If more than one person from the institution attends, the fee is $275 for each additional person.

Please make checks payable to the SREB Council on Collegiate Education for Nursing. If you prefer to use VISA or MasterCard, call staff at (404) 879-5567 or (404) 879-5566.

All fields marked in red are required fields.

Name: First   Last  
Institution/Organization
 
Address
 
City   State 
Zip 
Phone  
Fax
E-Mail 
Highest Earned Academic Degree
 
Position or Academic Rank
 
If you plan to attend only the annual meeting, then select the first option.
If you plan to attend only the mini-workshop then select only the second option.
If you plan to attend both select the third option.
 
Questions or Comments?
Contact Eula Aiken at (404) 879-5567 or eula.aiken(at)sreb.org or Christy Byrd at (404) 879-5566 or CCENAssistan(at)sreb.org