Convention Registration

The Convention will be held April 10, 2024 (1p-5p) and April 11, 2024 (9A-5:00P) at the MS Coast Convention Center– 2350 Beach Blvd, Biloxi, MS 39531

Agenda Outline as follows:

Convention Registration

To receive the CEU credit, all Information must be completed as requested.

Convention Registration

"*" indicates required fields

MSLPN 2024 Annual Conference Registration*

Attendee Name*

As appears on state issued ID

First Middle Last

Please select one of the following for the attendee

The attendee is a Licensed Practical Nurse

The attendee is a Retired LPN

The attendee is a Practical Nursing Student

The attendee is an Academic Partner for PN (faculty,ect)

Attendee Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Attendee Phone*

Attendee Email*

Mississippi LPN License Number (if applicable)

Payer Information

Payer Name*

As appears on state issued ID

First Middle Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Convention Registration

Price:

Surcharge Fee

Price: $0.00

Total

Credit Card

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