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ONLINE APPLICATION

 
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LPNAO MEMBERSHIP TYPES:

The Licensed Practical Nurse Association accepts credit card payments for registration

for all continuing education activities and seminars. Additionally, credit cards are

accepted for payment of annual membership dues. LPNAO accepts payments through the             secured site of PayPal. All major credit cards are accepted.

Regular Member Actively employed  LPN or RN - $75.00

 

Are you a former Active Member?
Are you a former Student Member?

 

Retired Members with 10 years or more of active membership who are now retired (documentation required) - $25.00
Are you a former Active Member?
Are you a former Student Member?

 

Associate   State      Members on an official leave of absence from work  (documentation required) - $25.00
Are you a former Active Member?
Are you a former Student Member?

 

  Supportive**     Individuals who support the objectives of LPNAO- $75.00
Are you a former Active Member?
Are you a former Student Member?

 

  Agency * Hospitals, nursing homes and approved schools of practical    nursing - $100.00
Name of Agency/Facility
Agency/Facility Representative
  Student * Individuals currently enrolled in a  pre-licensure practical nursing education program - $30.00
Name and Address of School
Anticipated graduation date

 

**Supportive and agency members are entitled to all privileges of the association except voting and holding office.

DESIRED MEMBERSHIP TYPE (For Mailing Only)

LPN Member Application

Student Membership Application

 

 
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