Indian american nurse’s association

The success of an organization depends on the unity and commitment of its members. Equally important is the number of members the association has and the member strength we can derive from it to bring

Please complete the registration form below. You will receive an email with further instructions:
Membership Form Download (Printable Version)

*First Name

*Last Name

*Address

*City

*State

Zip

Phone

H
W
M

*Email Address

Employer

Position

Area

Education

School of Nursing

Membership Type

Life membership fee ($150.00)

Yearly membership fee ($ 25.00)

I/We do hereby declare that I/We will abide by the rules and regulations set by the
INDIAN AMERICAN NURSES ASSOCIATION

Send your check to:
Indian American Nurses Association,
614 Victory
Stafford, TX-77477

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