Program
Register and make hotel reservations at the same time!
Use one of the following methods:
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1. Log on to the Online Reservations website for hotel reservations. You MUST use one of the methods below to register for the Fall Assembly of States.
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2. Call the AANA Housing Bureau at 877-226-2885 (toll-free).
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3. Print and complete the form below and fax it to the AANA Housing Bureau at 847-692-3224.
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4. Print and complete the form below and mail it to:
AANA
Attn: Programs and Meeting Services
222 S. Prospect Avenue
Park Ridge, IL 60068-4001
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The Broadmoor
1 Lake Avenue
Colorado Springs, CO 80906
Room rate: $209 single/double plus $16.00 Daily Resort Fee (covers daily newspaper, unlimited fitness center access, and high speed Internet access)
Cut-off date : October 22, 2010
Friday General Session:
Morning Session:
Afternoon Session:
Saturday General Session:
AANA President's and Treasurer's Reports NBCRNA, Foundation and CRNA-PAC Reports State and Federal Government Affairs Updates Open Forum - Board of Directors
Sunday General Session:
- Parliamentary Procedure Made Easy
- Effective Governance - Board Roles and Responsibilities
Member Registration Fee: $350
(after October 22, 2010 cut-off date: $375)
Associate Member Fee: $100
(after October 22, 2010 cut-off date: $125)
Non-member Registration Fee: $400
(after October 22, 2010 cut-off date: $425)
Daily Registration Fee: $175
(one-day maximum) Specify day___________________
Cancellation/refund request: $50 (CRNA) or $10 (Student)
November 5, 2010
I will attend:
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Friday - General Session
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Saturday - General Session
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Sunday - General Session
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___________
AANA Number
Name (print): ________________________________
Nickname: __________________________________
Address: ____________________________________
____________________________________________
City: ________________________________________
State: ______ Zip: ___________
Home Phone: ________________________________
Work phone: _________________________________
E-mail address: ____________________________________________
Do you have any physical disabilities or limitations
Yes No
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Type of room:
___ Single (1 person/1 bed)
___ Double (2 people/1 bed)
___ Double/double (2 people/2 beds)
JW Marriott Starr Pass is a smoke-free environment.
Special Needs:_______________________________
___________________________________________
For arrival on (day) _________ (date) _____________
For departure on (day)_______ (date) _____________
Please reserve _____ rooms for _____ people.
Name(s) of person sharing accommodations: _______
____________________________________________
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(payment must accompany meeting and hotel registration)
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Check or money order enclosed
(made payable to AANA)
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NOVUS (Discover Card)
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Visa
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MasterCard
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American Express
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______________________________________________
Credit Card Number
| __________________ |
__________________ |
| Expiration Date |
Identification Number
(on back of card by your signature - 7 digits) |
_______________________________________________
Signature
_______________________________________________
Print Name
_______________________________________________
Credit Card Billing Address
_______________________________________________
City State Zip Code
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I authorize The Broadmoor to charge my account for one night's deposit and all applicable taxes.
Check out time is 12:00 p.m. Rooms may not be available for check-in until after 4:00 p.m. The AANA Housing Bureau regrets that it cannot hold your Broadmoor reservation without one of the credit cards above.
RESERVATIONS REQUESTED AFTER THE CUT-OFF DATE ARE SUBJECT TO AVAILABILITY. ROOMS MAY STILL BE AVAILABLE AFTER THE CUT-OFF DATE, BUT NOT NECESSARILY AT THE GROUP RATE. PLEASE APPLY 11.65% TAX TO THE ABOVE RATE.
NOTE: ONLY SEND ONE RESERVATION FORM PER ROOM.
Fax:
E-mail: meetings@aana.com
Program
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