2020 Member Registration Form for SUNA Members Step 1 of 3 - Personal Information 0% Name* First Name Last Name Credentials*RN, BSN, etc.Personal Email* Email Confirm Email Personal Phone*Mailing Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Employer*Position*Business Phone*Business Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code SUNA Membership Number*Expiration Date* Date Format: MM slash DD slash YYYY SUNA Member Conference Fee* Price: $99.00 Quantity: Total $0.00 Friday Evening Symposium*AttendingNot AttendingOnly with PAID Conference FeeConsent* I agree to the Refund Policy.***TERMS FOR CANCELLATION*** Full refund will be provided if cancellation is made one (1) week prior to seminar. Contact the Chapter Registrar regarding cancellations: registrar@umcsuna.orgPhoneThis field is for validation purposes and should be left unchanged.
