FRIENDS OF NURSING - Membership

The purpose of the Friends of Nursing is to advance professional nursing
by providing scholarships for quality education in baccalaureate
and higher degree programs in Colorado schools of nursing.

Membership Form

Please print this page, fill out, and mail to Friends of Nursing, P.O. Box 735, Englewood, CO 80151-0735.

Yes, I am interested in becoming a member of Friends of Nursing.

Please accept my donation as an acknowledgement of my support of the purpose of the Friends of Nursing to advance professional nursing by providing scholarships for quality education in baccalaureate and higher degree programs in Colorado schools of nursing.

Annual Dues:

	Life.................................	$400.00
	Organization.......................	$100.00
	Sustaining..........................	$100.00
	Regular.............................	$50.00
	Scholarship Recipient.............	$10.00

Mark one:
New__________________________ Renewal____________________ Date__________________

Last Name_____________________________________ First Name________________________

For social invitations, please circle one:

Mr. and Mrs.

Dr. and Mrs.

Drs.

Dr.

Mrs.

Ms.

Mr.

Dr. Dr. and Mr.

Address_________________________________________________________________________

City______________________________ State________________ Zip______________________

Home Telephone____________________ Business__________________ Fax________________

Email Address____________________________________________________________________

PLEASE CHECK HOW YOU WOULD LIKE TO VOLUNTEER:

	Special Events
	Spring Luncheon
	Development Funding
	Membership

	Newsletter
	Telephone Committee
	Addressing and Mailing

MAKE CHECKS PAYABLE TO:
Friends of Nursing

Thank you for your membership and support.