Membership

$0.00 – $150.00

Clear

New or Renewal *

Name *

Email *

Address *

City, State, Zip *

Phone *

Position/Title *

Credentials *

Organization/Hospital *

Employer Address *

Employer City, State, Zip *

Referred to OMNE by

Primary Areas of Employment *

–

Specify:

Professional Affliations

–

Other

Participation

Active Participation encourages at least one committee (Check Preference)

Year of Membership

I understand *

I understand that my membership runs on the calendar year January 1 to December 31. I also understand that I am not a member of OMNE until my membership fees have been paid.

Stay informed of future meetings and events

Follow us on Facebook
Copyright ©2021 OMNE Nursing Leaders of Maine | All Rights Reserved |