Shaping and influencing health care
within the Department of Veterans Affairs


Please note:
If you wish to use Payroll Deduction ($4.40 per pay period) to pay your annual dues, then you will need to download the printed application form to take to your payroll office.

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(Acrobat Reader Required)

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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:
Filter Type:
Email Address:
Name:
Title:
Street Address:
City, State, Zip:
Work Phone (with extension):
Home Phone:
Recruited By:
Position:
VA Facility:
Chapter Number:
Would you be interested in serving on one of NOVA's Committees?
 Yes  No


MEMBERSHIP CATEGORIES:
 $105 - Active Member $50 - Emeritus (Retired) Member
 $15 - 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

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For more information:
NOVA/NOVA Foundation
47595 Watkins Island Square
Sterling, VA 20165 US
703-444-5587
Fax: 703-444-5597

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