57th Annual MSR Regional ConferenceMember InformationDateSelectEta Chi ChiGamma Chi ChiLambda EtaMu Chi ChiPi Chi ChiPsi PhiRho ChiSigma Chi ChiSigma PhiTau Chi ChiTheta EtaUpsilon EtaXi PhiZeta Chi Please Check All Applicable Boxes. For "Regional Officer" or "National Officer," please fill in the corresponding space with which office you hold.Regional OfficerRegional PositionNational OfficerNational PositionGraduate MemberFirst Time AttendeeBeta MemberMember-at-LargeNurse PractitionerFirst Name *Last Name *Street Address *Apartment, suite, etcCity *State/Province *ZIP / Postal Code *Email Address *Phone *List Any Food Allergies (optional):**Please Note: While we will attempt to accommodate dietary restrictions, we cannot guarantee that foods served at the event will be free of the listed allergens. It is up to each member who has a food allergy to determine whether or not the food is free of known allergens by inquiring directly with the banquet food provider and/or food servers.Special Accommodations (optional):Registration OptionsFull Registration - In-Person Graduate : $400(Includes: Conference bag, Leadership Workshops, Educational Workshops/Lunch, General Plenary Sessions, Beta Plenary Session, Mary Garnett Awards & Scholarship Luncheon, MSR Retro Event, Prayer Breakfast)Plenary Registration - In-Person Graduate : $325(Includes: Conference bag, Leadership Workshop, General Plenary Session, Beta Plenary Session, Mary Garnett Awards & Scholarship Luncheon, MSR Retro Event, and Prayer Breakfast)Full Registration - In-Person Beta : $200(Includes: Conference bag, Leadership Workshop, General Plenary Session, Beta Plenary Session, Mary Garnett Awards & Scholarship Luncheon, MSR Retro Event, and Prayer Breakfast)Plenary Registration - In-Person Beta : $50(Includes: Conference bag, Leadership Workshop, General Plenary Sessions, Beta Plenary Session, Mary Garnett Awards & Scholarship Luncheon, MSR Retro Event, and Prayer Breakfast)___________________________________________________________Support Chapter Event - Friday, March 17, 2023 - $50Bingo/Jeanz & Thingz___________________________________________________________MSR Retro - Saturday, March 18, 2023Please check if you will attend/(No extra charge for registered members)MSR Retro - (Non-Members), $40 Each__________________________________________________________Prayer Breakfast - Sunday, March 19, 2023Please check if you will attend/(No extra charge for registered members)Prayer Breakfast - (Non-Members), $30 each__________________________________________________________Train Case (MSR Fundraiser)NoYes - $30Final CostThe final estimated price is:Sub-Total$Online Processing Fee (must be checked to proceed)Please choose above option to continue with CheckoutOnline Processing Fee__________________________________________________________Total CostTOTAL COST${calculation-3}Credit / Debit Card *Submit RegistrationSave as Draft