Shaping and influencing health care
within the Department of Veterans Affairs


Please note:
If you wish to use Payroll Deduction ($4.10 per pay period) to pay your annual dues, then you will need to download the printed application form to take to your payroll office.

Download Form
(Acrobat Reader Required)

MasterCard Visa
NURSES ORGANIZATION OF VETERAN AFFAIRS
MEMBERSHIP APPLICATION

Yes, I want to join my peers as a member of our professional
VA Nursing Association!
MEMBER INFORMATION:
Email Address:
Name:
Title:
Street Address:
City, State, Zip:
Work Phone (with extension):
Home Phone:
Recruited By:
TELL US ABOUT YOURSELF:
Birth Date (MM/DD):
Specialty:
Highest Degree Completed:
Position:
VA Facility:
Chapter Number:
Would you be interested in serving on one of NOVA's Committees?
 Yes  No


MEMBERSHIP CATEGORIES:
 $100 - Active Member $50 - Retired Member
 $10 - NOVA Pin $2 - NOVA Bumper Sticker
If you would like to make a contribution to the NOVA Foundation, please check an amount below:
 $10  $25  $50  $100  $250


Note:
  • Membership dues are NOT tax deductible as a business expense.
  • Contributions to the NOVA Foundation ARE tax deductible.
To submit your application for NOVA Membership,
please click the button below:


Nurses Organization of Veterans Affairs

Home Page
Board | Bylaws | History | Legislative
Links | Local Chapters | Meetings | Membership
Members Message Board | News From NOVA | NOVA Foundation | VA Facilities
Update Member Info

For more information:
NOVA/NOVA Foundation
1726 M Street, NW, Suite 1101
Washington, DC 20036 US
202-296-0888
Fax: 202-833-1577

© Copyright 2008 NOVA/NOVA Foundation. All Rights Reserved.