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FMRNA Membership Registration Form

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Please list your areas of expertise or special interest and tell us if you are willing to share information:  
 

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I am applying for:
  Active membership ($75/year)    (RN, LPN, NP)  
Associate membership ($30/year)   (MA, NA)

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FMRNA
Attention:  Pat Goranflo
11400 Tomahawk Creek Parkway
Leawood, KS  66211-2672

Questions? Please contact us...
1-800-274-2237, ext. 6706
E-mail:  pgoranfl@aafp.org
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