AHRQ developed the following CE activities for nurses to increase awareness and ongoing use of AHRQ patient safety and quality resources:

Name*

First Last

Job Title*

Employer*

Employer Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Work Phone*

Email*

Home Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Mobile Phone

Home Phone

RN License Number*

NHA License Number

NHA Registry Number

Attendee List

A list of attendee contact information including e-mail addresses will be made available to attendees and vendors. Check this box if you would like your name only to be included on our attendance list.

Name only

First Convention

Is this the first time you are attending PADONA's annual convention?

Yes

Full Conference Registration Fee*

Are you currently a member of PADONA?

Single Day Registration Fee (Members Only)

If you would like to register for multiple single days, please enter the appropriate quantity here.

Price: $150.00

Single Day Registration Fee (Non-Member)

If you would like to register for multiple single days, please enter the appropriate quantity here.

Price: $200.00

Billing Address

Street Address Address Line 2 City State ZIP Code

Permitted Exhibit Times

Additional Info

Cancellation Policy

Security & Liability

Additional Questions

Additional Info

Cancellation Policy

Security & Liability

Additional Questions