Registration Form

You may use this online form to register using a credit card. If you would rather register by mail or pay by check, please complete the attached form.
Privacy, Security
When using this registration form, your information is encrypted with NJHA's secure server. By placing your order, you agree to NJHA's Privacy Statement and Conditions of Use.

When using this registration process do not use your 'back' button or your data will be lost.

Help With Registration
For further information or assistance with online registration, please contact us at (609) 275-4180, or e-mail: Please be sure to mention the event name, date, and brochure code number (following the event name in parentheses).

Event Information:

Event Name: Nurse Leaders: Changing the Status Quo by Disruptive Innovations (EDU 1903)
Event Detail Location Price/Attendee
3/28/19 & 3/29/19 * The Princeton Marriott at Forrestal
Please click and select the member or non-member price based on your organization's membership status with NJHA. For questions on member status please e-mail or call (609) 275-4051.
Only credit card payments are accepted via this secure web site.
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