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Olympia Area Advanced Practice
Association |
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http://www.olyareaap.org
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2008 Membership/Dues Form |
| Below is our membership
application. Please mail to me with your annual dues of $25. |
| Dues will
entitle you to a copy of our provider directory, and regular mailings for
our meetings. |
| All of our business is now via
email, so check our website frequently for updates. |
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Name: |
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Email: |
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NP Classification
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Specialty |
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Home Address: |
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Home Phone: |
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Work Information: |
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Work Address:
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Work Phone:
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Web Site:
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| We also depend upon our
members to help provide programs for our meetings. If you would like to
host a program, please let me know below. Our meetings are as different as
our membership makes them. Sometimes we have a pharmaceutical rep do a
presentation about a topic of interest, sometimes our own membership
provide our presentation, sometimes we have a forum or discussion meeting,
and sometimes just a fun social event. We can help you with the details. |
| If you would like to
serve on our board, please let us know. |
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I am interested in hosting a
program |
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Possible
Month/Date |
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Possible Topics of interest
to me" |
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I am interested in working
with the Board to help plan programs |
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| Mail to: |
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