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Greater Memphis Area Chapter
Membership
Registration

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For a printer friendly copy of the local membership form, click "Here"

The following are parts of the Local Membership Folder:

GMAC Application Information

Name and Credentials_____________________________________________________________________________________

Title/Place and Unit of work___________________________________________________________________________________

Home Address___________________________________________________________________________________

City, State, Zip_______________________________________________________________________________________

Phone Numbers: Work________________________ Home_________________________________________

National Member? YES____ NO_____ National Number_______________________________

CCRN? Yes____ NO____ CCNS? Yes____ NO____

Employee Status: Full time____ Part Time____ Retired ____ Unemployed ___ Student___

Age Range: 20-30 ____ 31-40 ____ 41-50 ____ 51-60 ____ 60+ ____

The chapters of AACN are asked to verify national AACN membership status. Please enclose a copy of your AACN membership card with your completed form. If you are CCRN certified, please enclose a copy of your CCRN certification also.

Student Membership is $10.00
Regular Membership is $20.00. Please make out a check to and mail to:


AACN-GMAC
P O BOX 242153
Memphis, TN
38124-2153

If you would like for us to send you electronic reminders of local meetings and a copy of the "Artifact" when published quarterly, then please give us your e-mail address

e-mail address __________________________________________

Please note that GMAC has a web site at "aacn-gmac.org" with a calendar of events and times, "Artifact", local links, pictures and links to national AACN and other chapters.

national AACN membership form

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