Alabama WMU
Thursday, September 09, 2010

Become an Alabama BNF Member

Complete the BNF Membership application and return it with a $30 check made payable to
Alabama WMU to:
Alabama WMU, PO Box 11870, Montgomery, AL 36111-0870
 
Dues for student nurses are half price - $15 
 
 
Regular Membership - $30
Student Nurses - $15

New Member
   Returning Member
 
First Name    Last Name  
                                                                         
Mailing Address   

City  State  Zip

Daytime Phone  Evening Phone  

Cell

Email 
 
Church Name & City 
 
Nurse Registration/License Number 

Nursing Specialty 
 
Your level of education: Please select one:

Select all that apply:
I am a
Registered Nurse   Licensed Practical Nurse     Student Nurse   Retired Nurse   Missionary Nurse
 
Other: Be specific