Convention Registration

Convention Registration

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

Convention

"*" indicates required fields

Is Payee different person than Attendee?*

MSLPN 2024 Annual Conference Registration

Payee Information

Payee Name*

As appears on LPN license

First Middle Last

Address*

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

Phone*

Email*

NFLPN Member Number

Mississippi LPN License Number

Attendee Information

Attendee Name*

As appears on LPN license

First Middle Last

Address*

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

Phone*

Email*

NFLPN Member Number

Mississippi LPN License Number

Registration Type*

No refunds are accepted at this time. If you have any questions or concerns, please email our Executive Director, Dr. Maude McGill, at maude.mcgill@mslpn.org.

Credit Card