Transcultural Nrsg Society Member Conference Registration Form

Conference Early Registration Form Charleston, SC Oct 10-14-2023

MANY CULTURES ONE WORLD
MonthDayYear
Date
Transcultural Nursing Society Membership Status*

I am a current member of the Transcultural Nursing SocietyI am NOT a current member of the Transcultural NursingI wish to join the Transcultural Nursing Society today and register at the member conference rateI am a full time student
Student Status*

I am a current full time student and a student member of the Transcultural Nursing SocietyI am a current full-time student and NOT a member of the Transcultural Nursing SocietyI wish to join today as a full-time student and pay the student member conference rate.
Upload Proof of Full Time Student Status: (Current Dated Schedule/Registration or other document listing your name, current date and enrollment status)*

Cancelof
If a current member, enter your membership number below.*
(Found on Membership Materials if Available)
Have you, or will you be, submitting an abstract for consideration for a presentation at the conference?*

YesNo
If you are offered and accept a presentation at the conference you will be subject to a $100 presenter deposit fee which is non-refundable. Answering no may affect any presentation offer you receive. Do you accept these terms:*

YesNo
Are you presenting at the conference?*

Yes, Poster PresentationYes, Podium PresentationPoster and Podium PresentationNo, I am not presenting at the conference
Presentation Deposit*

I have paid my presentation deposit, to be credited to this conference registrationI have not paid the deposit.I am registering early and wish to have $100 presenter deposit credited to any accepted presentation I may be offered.
Name as you wish it to appear on your name tag*

First NameLast NameCredentials
Organization Name
Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Phone Number

Country CodeArea CodePhone Number
Primary Contact Email For Communications - Required*

Confirmation EmailConfirm email address
Secondary Email Contact
example@example.com
I give permission for to share my information (name, org, city, state) with the conference participants.*

YesNo, do not share
Please verify that you are human*

Transcultural Nursing Society Registration Payment*

Payment Information
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Should be Empty:

Conference Early Registration Form Charleston, SC Oct 10-14-2023