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VACPN Membership

The $50 annual membership is now included in the Spring Conference Registration Fee. If you are unable to attend the Spring 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 May to May.

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:

 

Nina Beaman
  VACPN Treasurer
  3242 Rockfish Valley Highway
  Nellysford, VA 22958-2202

 

Membership Registration Form

VACPN Membership Registration Form

Name

Credentials

Email Address

Place of Employment

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

For PayPal payments:

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