PNANJ Membership Registration for LPNs and Student Nurses
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Email *
Complete Name: *
Address: *
Phone number: *
For LPNs, please input where you work. (organization name)
For Student Nurses, please input where you are studying (college or university)
 *
By choosing YES, you agree to pay the PNANJ Annual Membership Registration Fee.
LPNs - $25
Student Nurses - $15

Please send the payment via Zelle at PNANJT@gmail.com
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