Membership Application

If you are interested in becoming a member of the California/Nevada Chapter of ACHSA, complete the following application, print it, and mail it with your check or money order to the address below.

Name:
Mailing address:
Name of Organization/Institution:
Address:
Work Tel. No:
E-mail:
Specialty/Discipline:
Position:

Are you a member of National ACHSA? yes no

In order to be a member of the California/Nevada Chapter of the ACHSA you must be a member of the national ACHSA: please indicate if you are a member of the national ACHSA on application.

Annual dues for ACHSA are $65.00. This includes $50.00 for National dues and $15.00 for State dues.

Please make check payable to: ACHSA, California/Nevada Chapter, and send to:

Treasurer, CA-NV ACHSA

PO Box 1511,

Folsom, CA 95763

Membership is open to all individuals interested in correctional health services.

email

Feedback, comments, suggestions


home | board of directors | application | links |
2010 conference information | 2010 conference agenda | 2010conference registration | 2010 conference flyer
Newsletter | Chapter By-laws | Code of Ethics  
ANA Standards |Conference Links

Archived pages:
2008 conference information | 2008 conference agenda | 2004 conference agenda | 2004 conference info
|
2003 conference agenda \|2002 conference agenda | 2001 conference agenda | 2K conference agenda
'98 Conference pics | 2K Conference pics