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Join ANA and the New Mexico Nurses Association Today!
ANA's National Nurses Week 2015 theme recognizes the importance of ethics in nursing
and acknowledges the strong commitment, compassion and care nurses display in their
practice and profession. Join the American Nurses Association in celebrating National
Nurses Week.
BENEFITS INCLUDE:
ANA and the New Mexico
Nurses Association are
empowering nurses with
resources, programs and
standards that help you
advance your career and
your profession.
Free and discounted continuing education
modules and
Navigate Nursing webinars on current and
emerging topics
Exclusive discounts on certifications and
renewals through the American Nurses
Credentialing Center (ANCC)
Free subscriptions to ANA journals and newsletters
Support for ANA and NMNA's advocacy efforts,
which help protect your practice and improve
the quality of care
Now is the perfect time for you to join ANA
and the New Mexico Nurses Association
10% OFF
your first-year
membership dues
Join by June 30 and use code NNW15 to SAVE 10% on
your first-year ANA and the New Mexico Nurses
Association membership dues.*
To receive this offer, complete the membership invitation
on the reverse side or go to JoinANA.org and use code
NNW15.
*10% discount on first year membership only applies to joint membership
in ANA & your state nurses association.
JoinANA.org
ANA Membership Invitation
For dues rates and other information, contact ANA’s Membership Billing Department at (800) 923-7709 or e-mail us at [email protected]
Essential Information
First Name/MI/Last Name
Gender: Male/Female
Mailing Address Line 1
Credentials
Mailing Address Line 2
Phone Number
City/State/Zip
Email address
Circle preference: Home/Work
County
Professional Information
Employer
Current Employment Status: (ie: full-time nurse)
Type of Work Setting: (ie: hospital)
Current Position Title: (ie: staff nurse)
Required: What is your primary role in nursing (position description)?
Practice Area: (ie: pediatrics)
Ways to Join
10% Discount On First Year Dues: $214.20 Annual or $18.31 Monthly
Regular ANA and State Membership Dues: $238.00 Annual
✓ or
$20.34 Monthly
Membership Dues
Clinical Nurse/Staff Nurse
Nurse Manager/Nurse Executive (including Director/CNO)
Nurse Educator or Professor
Not currently working in nursing
Advanced Practice Registered Nurse (NP, CNS, CRNA)
Other nursing position
Ways to Pay
Monthly Payment 10% Discount On First Year Dues: $18.31
ANA-PAC Contribution (optional)...................................$
Check
Credit Card
ANF Contribution (optional) ............................................$
Total Dues and Contributions ..........................................$
If paying by credit card, would you
Yes
like us to auto bill you annually?
Annual Payment 10% Discount On First Year Dues: $214.20
Credit Card Information
Visa
Mastercard
Credit Card Number
AMEX
Discover
Checking Account Attach check for first month’s payment.
Credit Card
Expiration Date (MM/YY)
Authorization Signatures
Authorization Signature
Monthly Electronic Deduction | Payment Authorization Signature*
Printed Name
Automatic Annual Credit Card | Payment Authorization Signature*
Please Note — $20 of your membership dues is for a subscription to The American Nurse and $27
is for a subscription to American Nurse Today. American Nurses Association (ANA) membership dues
are not deductible as charitable contributions for tax purposes, but may be deductible as a business
expense. However, the percentage of dues used for lobbying by the ANA is not deductible as a
business expense and changes each year. Please check with ANA for the correct amount.
*By signing the Monthly Electronic Payment Deduction Authorization, or the Automatic Annual Credit
Card Payment Authorization, you are authorizing ANA to change the amount by giving the above signed
thirty (30) days advance written notice. Above signed may cancel this authorization upon receipt by ANA
of written notification of termination twenty (20) days prior to deduction date designated above.
Membership will continue unless this notification is received. ANA will charge a $5 fee for any returned
drafts or chargebacks. Full and Direct members must have been a member for six consecutive months or
pay the full annual dues to be eligible for the ANCC certification discounts.
Go to JoinANA.org to become
a member and use the code:
NNW15
Fax
Web
Mail
Completed application with credit card
payment to (301) 628-5355
Join instantly online.
Visit us at JoinANA.org
ANA Customer & Member Billing
PO Box 504345
St. Louis, MO 63150-4345