To Join P.A.N.E. please fill out the membership application and return to the address provided below.

Name: _______________________________________________________
Address: _____________________________________________________
_____________________________________________________________
_____________________________________________________________
Phone: (W)________________________(H)_________________________
Facility/Affiliation: _____________________________________________
E-mail: ______________________________________________________

Membership Dues: $20.00

Mail To:

Pinellas Area Nurse Educators
P.O. Box 47743
St. Petersburg, FL 33743


Send E-mail to P.A.N.E. Webmaster John Prokop, RN
jet@ij.net


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