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Fill out and submit the simple form below – and you can begin enjoying the many benefits of NursesUSA immediately.

Please complete form below. Fields in red must be completed in order to process.

First Name
Middle Name
Last Name
Home Address 1
Home Address 2
City
State
Zip
Daytime Phone
(999-999-9999):
Email
Please Re-Enter Email:
   
Are you a Nurse? Yes  No
   
If yes, number of years of Nursing:
   
Currently Nursing? Yes  No
   
If no, why currently not Nursing?   Retired
  Sabbatical
  Changed Career
  Can't Find Job
   
Licenses? Select all that apply   LPN
  RN
  CNA
  NP
  OTHER
   
Where do you work? Select all that apply   Hospital
  Nursing Home
  Doctor's Office
  Corporate Office
  School
  Surgical Center
  Private Home
  Other
Certifications/Designations?
Biggest Concern as a Nurse?
   
Yes, please subscribe me to NUSA's email newsletter,
NursesUSA Heartbeatsm, which I will receive typically via email weekly.
Yes, please send me other periodic NUSA member communications.
Please don't send me any of the above.
 
 

Since your membership is an online membership, we communicate with you via email. The primary communications are through our member newsletters. Occasionally, we will send you a separate email communication, but please be assured that we are sensitive to your time and will not bombard you with email communications. Note that NursesUSA will not sell your email address and personal contact information to third parties.

If you do not wish to receive our email communications, you can easily opt out at any time.

If you have any questions or comments, please contact us at admin@nursesusa.org or 614-497-4088. Thank you.
 
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PO Box 882196
Port St. Lucie, FL 34988
Tel: 614-497-4088

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