AMERICAN SOCIETY FOR PAIN MANAGEMENT NURSING (ASPMN)

ST. LOUIS REGIONAL CHAPTER

MEMBERSHIP APPLICATION

 

 

Name: _________________________________________   Date_________________________

Current Position/Title: ___________________________________________________________

Home address: _________________________________________________________________

City: _______________________      State: ___________        Zip: ____________

Home phone: ____________________________       Work phone: ________________________

FAX: __________________________________       Email address: _______________________

Institution: ____________________________________________________________________

Work address: _________________________________________________________________

City: _______________________________________State: ____________Zip: _____________

Speciality Area: ________________________________________________________________


Work Setting: __________________________________________________________________

 

Preferred mailing address:  Home                             Work

How did you learn about ASPMN? _________________________________________________

 

You must be an ASPMN National Member in order to become an ASPMN St. Louis Regional Chapter member. 


                       National membership dues are: Active $95.00* (ASPMN, 7794 Grow Drive, Pensacola,  FL 32514-7072). Application available at: www.aspmn.org/

 

                       Annual Chapter membership dues are:  $25.00*   Application available at www.aspmnstlouisregional.org/  (Checks payable to ASPMN St. Louis Regional Chapter, C/O Shriners’ Hospital for Children, 2001 S. Lindbergh Blvd, St. Louis, MO 63131, Attention Dorothy Stratmann-Lucey.)

 

*Both memberships must be paid in order to be a member of the St. Louis Chapter.

** There is a student membership available.

 

Reasons to join ASPMN:


 

                       2-4 times a year Pathways publication

                       quarterly Pain Management Nursing Journal (really excellent!)

                       representation in Congress

                       NETWORKING!!!! REAL NETWORKING!!!

                       a member of an organization that works for patients across cultural and developmental dimensions

                       empowers nurses through education

                       plus much more!!!

 

If you need to speak to someone please call Joan Wentz at 618-692-1231, or email her at Jdomigan@aol.com/