Register Online for NOVA's Annual Meeting

Shaping and influencing health care
within the Department of Veterans Affairs

NOVA 31st ANNUAL MEETING
REGISTRATION FORM

Note: Each participant must fill out a separate registration form.

There will be no refunds after 6/1/11. Cancellations prior to this date will be charged a $25 processing fee. Cancellations must be in writing.

Filter Type:

Email Address:

Full Name:

Name For Badge:

Spouse/Guest Name:

Spouse/Guest Name for Badge:

VA Facility:

Your Home Address:

City, State, Zip:

Daytime Phone:

FAX Number:

Registration Rates
Please check all that apply.

$330 NOVA Member Registration

$425 Non-Member Registration

$125 Spouse/Guest (Non-VA employee)

$175 Daily Registration (no CEU's)

$195 NOVA Retiree Registration

$50 NOVA Foundation Reception & Auction

$110 Optional "Jersey Boys" Show at Venetian, 6/29

$130 Optional Red Rock Canyon Tour & BBQ 7/2

MEMBERSHIP:
Yes, I would like to support my professional organization for an annual membership fee of $105.

I would like to join NOVA Please renew my membership

NOVA FOUNDATION:
I would like to support the NOVA Foundation with a donation in the amount of:

$10 $25 $50 $100 $250

TRAVEL AND HOTEL INFORMATION

Official Hotel:
The Venetian Hotel & Resort
3355 Las Vegas Blvd. South
Las Vegas, Nevada 89109

Room Rate: $149.00 Single/Double
Reservation Cut Off: June 7, 2011
Call Hotel Direct for Reservations at: 702-414-1000

???QUESTIONS???
Phone: 703-444-5587 -- Fax: 703-444-5597
Or, enter your comments in the box below:

Submit your Registration by clicking this button:

Nurses Organization of Veterans Affairs