Membership application

SOCIETY FOR VASCULAR NURSING SVN MEMBERSHIP APPLICATION For membership in the Society for Vascular Nursing, please complete the following application. Dues are $75 (US and Canadian members) or $90 (international members). U.S. funds are payable through a U.S. bank only. Dues are taxdeductible (as determined by law). Thirty-five dollars ($35) of the dues payment is applied toward a one year subscription to the Journal of Vascular Nursing, the official publication of SVN, published quarterly. Please type or print clearly and list name and credentials as you would like them to appear on membership certificate.

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Name

Credentials

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Business Address

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Preferred Mailing Ms Address:

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Membership Category:

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Who offered you this membership opportunity? Name _ _ Mail or fax completed form with payment to:

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Credit Credit Card Car, Use O n l y _ _

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Society for Vascular Nursing 7794 Grow Drive Pensacola, FL 32514 (888) 536-4SVN (4786) Fax (850) 484-8762 Please note: Most m e m b e r s h i p mailings are sent at the n o n p r o f i t bulk rate. I f mailing address is incorrect or i n c o m p l e t e , mail is n e i t h e r f o r w a r d e d n o r r e t u r n e d to o u r office. T h u s we have no way o f k n o w i n g that you did not receive it. Please notify this office if y o u r address changes d u r i n g the year. T h e Society c a n n o t be held responsible for mail that is not deliverable.