Membership

Become a CAPNI Member

Register to Join CAPNI: Step 1

Personal Information

First Name Last Name Primary Email Work Phone Home Phone Cell Phone Fax Number

Address Information

City County State

Additional Information

Professional Designation and Degrees License Number State Licensed In Area(s) of Specialty (Check all that apply)

Adult	Family	Gerontology	Pediatrics
Oncology	Psychiatry	Acute Care	Women's Health
Nurse Midwife	School	Academic
Other - Specify

Type of Membership

Type of Membership
Note: in accordance with the IRS code and related regulation it is estimated that 40% of your dues are non-deductible political expenditures. Active Professional — $100/yr — Any RN who has completed an APN program or who is certified/board eligible as an APN by a nationally recognized certifying organization Student — $40/yr — Any RN enrolled in an APN program. Must have photocopy of student ID or other documentation of student status as a currently enrolled student.