Registration 2021 Date Date Format: MM slash DD slash YYYY Choose your Seminar2021 Seminars*Wine Country Anesthesia Update 2021French Quarter Festival Anesthesia Update 2021Enter Your InformationFirst Name (as it appears on your licensure)*Last Name (as it appears on your licensure)*First name as you would like for it to appear on your name badgeEmail* AANA ID# or RECERT ID#*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 Phone*EmployerHow did you hear about us?Registration OptionsWine Country 2021 Earlybird Registration Options*Full Registration (20 CEUs) - $545Monday & Tuesday (14 CEUs) - $400Tuesday & Wednesday (13 CEUs) - $375Monday Only (7 CEUs) - $275Tuesday Only (7 CEUs) - $275Wednesday Only (6 CEUs) - $250Wine Country 2021 Registration Options*Full Registration (20 CEUs) - $595Friday & Saturday (14 CEUs) - $450Saturday & Sunday (14 CEUs) - $450Friday Only (7 CEUs) - $325Saturday Only (7 CEUs) - $325Sunday Only (7 CEUs) - $325Wine Country 2021 On-Site Registration Options*Full Registration (20 CEUs) - $645Friday & Saturday (14 CEUs) - $500Saturday & Sunday (14 CEUs) - $500Friday Only (7 CEUs) - $375Saturday Only (7 CEUs) - $375Sunday Only (7 CEUs) - $375French Quarter Fest 2021 Earlybird Registration Options*Full Registration (20 CEUs) - $495Friday & Saturday (14 CEUs) - $350Saturday & Sunday (12 CEUs) - $300Friday Only (8 CEUs) - $200Saturday Only (6 CEUs) - $175Sunday Only (6 CEUs) - $175French Quarter Fest 2021 Registration Options*Full Registration (20 CEUs) - $545Friday & Saturday (14 CEUs) - $400Saturday & Sunday (12 CEUs) - $350Friday Only (8 CEUs) - $250Saturday Only (6 CEUs) - $175Sunday Only (6 CEUs) - $225LACES SeminarTotal $0.00 Payment InformationChoose Your Payment Method*Debit / Credit CardMail My PaymentCredit Card Billing Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Credit Card* Card Details Cardholder Name Mail Your Payment to:C&H Educational Systems 8946 Interline Ave. #C Baton Rouge, LA 70809 NOTE: Your registration is incomplete until check, cash, or money order is received.
