Florida Nurses Association


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Benefits of Membership
Membership Application

In 1908, Theodore Roosevelt recognized the value of associations when he said: "Every man (woman) owes a part of his (her) time and money to the industry to which he (she) is engaged. No man (woman) has a moral right to withhold his (her) support from an organization that is striving to improve conditions within his (her) sphere."

We urge you to exercise your moral right and become a part of the working team that is the Florida Nurses Association. FNA- striving to improve conditions for nurses since 1909. We become stronger each time another nurse joins!

Membership is open to any licensed registered nurse (RN) in Florida. FNA dues include membership in the American Nurses Association (ANA) and your local District Nurses Association. Please check the appropriate dues category:

* indicates required fields.

Monthly Payment Method ADP Option - Automated Bank Withdrawal (Available to Full Pay Members) Authorization is given to withdraw $24.25 per month which includes $1.00 service charge on or before the 20th of each month. Included is the first month's payment for processing of further deductions. FNA is authorized to charge the amount by giving the undersigned thirty days written notice. The undersigned may cancel this authorization by written notification of termination to FNA within 30 days prior to deduction date.
Name of Bank
Routing Number	(9 digit number preceding the account number)
Account Number

Or Choose a Credit Card Payment Plan *
FULL ANNUAL MEMBERSHIP DUES -> $279 (Employed full or part time under 62 years of age) FULL ANNUAL MEMBERSHIP DUES, PAID SEMI-ANNUALLY -> $140.75 (Employed full time or part time under 62 years of age) (Must be paid via credit card) FREE MEMBERSHIP DUES -> Free for the first year New Graduate FNSA members, FREE Basic nursing education program (first year only) REDUCED MEMBERSHIP DUES -> $139.50 Not currently employed Full time student FNSA First Time Renewal (new promotion!) New Graduate Non FNSA member 62 years of age or older REDUCED MEMBERSHIP DUES, PAID SEMIANNUALLY-> $71.00 SPECIAL RETIREMENT DUES ANNUAL -> $69.75 (60 years of age or older and not employed)

Credit Card Information *
	Discover American Express Master Card Visa
Credit Card Number*
Security Code*	Click here to learn more.
Card Expiration Date*	(mmyy)
Name on Card*
General Information (Enter address related to credit card if paying by credit card)
Select District
License Number*
If you do not have a license number, please use RN000000
Last Name*
First Name*
Middle Initial
Street Address
City, State	ZIP
Phone
email*

Renewing member - if your information has not changed, please click here to skip the fields in the following section.
Choose One	RN ARNP
What other organization(s) do you belong to:
Employer
Employer Address
City	ZIP
Employer Phone
I was referred by
Graduate Nurse/FNSA ID#
Date of Graduation
Date of Birth



Note: Membership dues are not deductible as a charitable contribution, rather they may deductible as a business expense if you itemize your deductions. The exception is a portion of your FNA and ANA dues used for lobbying purposes that is estimated to be twenty five percent (25%). A portion of a members annual dues ($5) is automatically contributed to the Florida Nurses Political Action Committee unless by written request, the member designates this amount be paid to the FNA General Fund.