Click the PayPal button below to submit payment.

You do not have to belong to PayPal to utilize their service.

 However, if you prefer to submit the form by mail and pay via check, please print this form, sign and mail to the address below with payment enclosed.

If the form is mailed, please include a separate sheet containing your nursing education / work/homeopathic training and skills, energy, and ideas you have for HNA.

Name
Title
Street Address
City
State & Zip
Organization
Work Phone
Home Phone
FAX
E-mail
URL

HNA dues are $50.00/year, and $25.00/year for students and seniors.

Nursing Education / Work/Homeopathic Training
(Please use this section only if submitting this form electronically)

Skills, energy, ideas I have for HNA
(Please use this section only if submitting this form electronically)

Signature __________________________________________ Date ______________

Please sign and date form

Homeopathic Nurses Assoc.
Sec’y / Treasurer: JoAnn Jarvis
216 Rider Avenue Syracuse, NY 13207
or fax #--508-223-1801

Highlight the above information* and then click here to this page and then click selection for the print range and click print!

*to highlight the information PC users need to right click and drag the mouse over all the contents you wish to print.  For Apple users you can simply click and drag the mouse over the text you wish to print.