ACN National Nurses Breakfast 2019

ACN National Nurses Breakfast 2019 - Registration Form

Let's celebrate International Nurses Day together!

Register your event below to receive a digital hosting kit and join in the annual ACN National Nurses Breakfast to celebrate International Nurses Day on 12 May.

Name*

First Name

Last Name

Organisation*

Position

Postal Address*

Address Line 1

Address Line 2

City

State

Postcode

Email*

Telephone*

Your Event Venue

Approximate Number of Guests

Event Date/Time

:

Please briefly describe what you have planned for your event (e.g. menus, themes, decorations, activities and VIPs):*

Have you or your organisation previously hosted an ACN National Nurses Breakfast?*

How did you hear about the breakfast?*

I agree for the name of my organisation and state to be listed on the ACN website as a registered event for 2019*

Yes No

I agree for ACN to contact me if there is media interest in covering my event*

Yes No

I agree to be contacted by the event partner HESTA regarding the possibility of a representative joining my celebration*

Yes No