Fall Conference Registration -
Register below for the fall conference on October 1st, 2025 at Parkview Mirro Center. A calendar reminder will be sent to your email after registration submitted.
Full Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Number of people attending
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
My Products
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Member
Current NEIONL members who have paid dues.
$
25.00
Quantity
1
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Conference + New Membership for 2026
$
75.00
Quantity
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Non-Member
$
50.00
Quantity
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Nursing Student
$
25.00
Quantity
1
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Daisy Nominee
$
Free
Quantity
1
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Pay by Check
An invoice will be emailed to you for payment.
$
Free
Quantity
1
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Credit Card
Submit
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