New Jersey Chapter
of the
International Association
of
Forensic Nurses
Membership is open to all nurses and student nurses interested in, or working in, forensic nursing. If you would like to join the NJ-IAFN, please print the application below, complete and mail along with a check in the amount of $25.00 payable to "NJ-IAFN" to:

NJ-IAFN
PO BOX 626
ROOSEVELT, NJ 08555

NOTE: We were recently privileged to be granted State Chapter status by the IAFN. By becoming a State Chapter, members of the NJ-IAFN are required to be members of the parent association, the IAFN. As a result, we have reduced our dues to $25 per year.

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NJAFN MEMBERSHIP APPLICATION


NAME_______________________________________________________


ADDRESS____________________________________________________


___________________________________________________________


COUNTY_____________________________________________________


PHONE (H)__________________________________________________


      (W)__________________________________________________


FAX:________________________ E-MAIL________________________


PRACTICE AREA______________________________________________


DEGREES/CERTIFICATIONS_____________________________________


EMPLOYER___________________________________________________


AREA(S) OF FORENSIC SPECIALTY______________________________


___________________________________________________________


IAFN MEMBERSHIP #_______________  EXP. DATE: ______________
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This page was last modified: 8 April 2001, by R.A. Lloyd of Dream Weaver Productions
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