REGISTER BELOW

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email
AANA Number*
Advanced Registration Course Fee*
- AANA Member - $550.00
- Non-Member - $600.00
- Students - $100.00
Pay by credit card via PayPal or by mailing your check to: MANA, Inc., 1022 Highland Colony Parkway, Suite 101, Ridgeland, Mississippi 39157. All cancellations must be made by January 12, 2020 for a full refund. After that date, no funds will be refunded.
Would you like to purchase AANA's CPC modules at a discounted rate?*
- Yes - $185
- No - $0
AANA is offering their mandatory CPC modules to those who attend state meetings at a discounted rate of $185 for all four modules (regularly $300). By opting in to purchase your CPC modules now, you will guarantee the discounted rate and be granted access to the modules in the fall of 2020.
Total
$0.00
Payment Option*
Notes
Make Check Payable and Mail To:
MANA, Inc.
Attn: Chris Link
1022 Highland Colony Parkway, Suite 101
Ridgeland, Mississippi 39157