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BNA Member Registration

Please fill out the form below to become a member or renew an existing membership with the Bermuda Nurses Association for the 2015 - 2016 term. The new membership will commence as of January 1st, 2016 ending December 31st, 2016. 
 
This year we are pleased to offer 'direct deposit' to the membership renewal options. We will still need to receive your completed membership form, either by submitting the form below, or by emailing treasurer@bna.bm with this form as an attachment. Please indicate that you have used the direct deposit option.
   
Thank you.

Dorcas Francis
Treasurer 2015 - 2016
Bermuda Nurses Association

 

Member Information:
First Name:
Last Name:
Mailing Address:
Parish:
Postcode:
Telephone Numbers:
Home: Work:
Mobile:    
Email Address:
Place of Employment:
Department:
Member Education:
Check all that apply.  
BSN
Associate's in Nursing MSN
Diploma in Nursing Doctorate in Nursing
Degree other than Nursing:
Specialty Certifications Earned:
Membership Options:
Registration Type and Duration:
Membership Number (if known):
Direct Deposit Submitted:

 

Please make your deposit to: BNTB: 20 006 060 055650 100
Also include your name and membership number (if known) in your deposit

 

 

 

 

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