Celebrating National Nurses Week May 6–12, 2014 JOIN ANA & VNA NOW! May 6-12, 2014, is a special time when nurses from every practice specialty join together to celebrate National Nurses Week. This year's theme highlights the nursing profession's critical leadership role as health care continues to evolve. Celebrate National Nurses Week 2014 by joining ANA and the Virginia Nurses Association ANA and the Virginia Nurses Association are empowering nurses with resources, programs and standards that help you advance your career and your profession. Benefits include: • Free and discounted continuing education modules • Exclusive discounts on certification through the American Nurses Credentialing Center (ANCC) • Free subscriptions to ANA journals and newsletters • Support for ANA and VNA's advocacy efforts, which help protect your practice and improve the quality of care 10% off of your firstyear membership dues if you join ANA and the Virginia Nurses Association by June 30. To receive this offer, complete the membership application on the reverse side or go to www.joinana.org and use code NNW14. Now is the perfect time for you to join ANA and the Virginia Nurses Association www.joinana.org ANA Membership Application 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 Date of Birth Mailing Address Line 1 Credentials Mailing Address Line 2 Phone Number City/State/Zip Email address Gender: Male/Female Circle preference: Home/Work How did you hear about ANA? County Magazine Online Colleague Mail Other: __________________________ Professional Information Employer Current Employment Status: (ie: full-time nurse) Type of Work Setting: (ie: hospital) Current Position Title: (ie: staff nurse) Practice Area: (ie: pediatrics) RN License # Ways to Join Ways to Pay Annual Payment ✓ ANA and State Membership 10% discount valid only for membership in ANA and state organizations. Excludes ANA only, eMembership, and state only membership options. Not valid for retired or new graduate categories. After the first year, membership will renew at the current rate in effect at that time. This offer is good for both annual and monthly payment options. Membership Dues Dues vary by state. Visit joinana.org to check dues rate in your state. Dues Rate ...............................................................................$ Check Credit Card State If paying by credit card, would you Yes like us to auto bill you annually? Monthly Payment Checking Account Attach check for first month’s payment. Credit Card Authorization Signatures ANA-PAC Contribution (optional)...................................$ ANF Contribution (optional) ............................................$ Monthly Electronic Deduction | Payment Authorization Signature* Total Dues and Contributions ..........................................$ Credit Card Information Credit Card Number Visa Mastercard Expiration Date (MM/YY) Authorization Signature Automatic Annual Credit Card | Payment Authorization Signature* *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: Printed Name NNW14 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. Fax Web Mail Completed application with credit card payment to (301) 628-5355 Join instantly online. Visit us at www.joinana.org ANA Customer & Member Billing PO Box 504345 St. Louis, MO 63150-4345
© Copyright 2024