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VACPN Membership

The $25 annual membership is now included in the Fall Conference Registration Fee. If you are unable to attend the Fall Conference each year and would like to become a member or continue your membership, please complete the form below and submit your payment. 

Membership will be annual and run from November to November.

To become a VACPN member:

1. Fill out the below membership form

2. Submit your payment via PayPal (see link below) or

mail payment to the VACPN treasurer:

Charlie McDonough

VACPN Treasurer

9212 Shady Grove Road

Mechanicsville, VA, 23116

Membership Registration Form

VACPN Membership Registration Form



Email Address

Place of Employment

Program Type (Examples: Outpatient, Inpatient, PACT, SA, ID, CSU, etc.)

For PayPal payments:

Please note that PayPal payments include a service charge of $5.95 so you will be charged a total of $30.95. You may mail in your payment to avoid paying this additional fee.

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