· Emergency Nurses AssociationP.O. Box 1005Bedford Park, IL 60499-1005
Member Services DepartmentEmergency Nurses Association847 / 460-4002.
* Indicates Required Fields
Step One - General Information
Membership is run on an anniversary basis
Name
First:
*
Middle:
Last:
Social Security Number - Last 4 digits: Not Required
Job Title:
Professional Credentials:
Employer:
Birthdate:
Home Address:
Apartment:
City:
State:
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Zip / Postal Code:
Province:
Country:
Home Phone:
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Cell Phone:
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Work Phone:
E-Mail Address *
Re-enter E-mail Address *
E-mail Address Type *
Home Work
From time to time, we share our member information to carefully screened vendors who offer products or courses related to emergency nursing. Check this box if you do NOT want your information shared.
Step Two - Membership Type
Membership TypeFor description of a membership click on heading
Term of Membership
Dues
Active Member (RN)
1 Year
$96
(Your dues are not deductible as a charitable expense however, a portion may be deductible as a business expense. Donations to ENA Foundation are tax deductible. Be sure to consult your tax advisor. A portion of your payment will be remitted to your State Council as dues and, in some cases, a portion will be remitted to your local chapter as dues.)
Sponsored By: (Enter the name of the individual who was directly responsible for you joining ENA) Why we need this
Chapter: (If you know the local ENA Chapter you wish to belong to, enter the chapter name. If you have not been participating in local chapter activities, a chapter will be assigned to you based on your home zipcode.)
Austin (TX) Chapter 329