Use "tab" to move through the form.

Name: *must fill field

E-mail: *must fill field

Street Address: *must fill field

City: State: Zip: *must fill fields

Country: US Addresses ONLY

Preferred Phone: Home; Office; Cell;

I am in agreement with the NCF Purpose and Doctrinal Basis (*This box must be checked indicating agreement in order to process your membership renewal)

• Membership Opportunities: (will be sent with Membership Card)
• I am in agreement with the NCF purpose and doctrinal basis
• The annual membership fee (US only) is $65 for practicing nurses, $50 for retirees, and $35 for full-time undergrad nursing students.
• Give gift to NCF ministry online

(Renew Membership Online takes you to the InterVarsity Christian Fellowship Online Store to process your payment.)

________________________________________

Update recent changes:

CURRENT NURSING ROLE: check boxes that apply

Student (School and Yr. of Grad.: )

Staff Nurse

Faculty (School: )

Administrator/Manager

Advanced Practice

Parish Nurse

Other

I am a current Journal of Christian Nursing (JCN) subscriber

• Membership Opportunities: (will be sent with Membership Card)
• I am in agreement with the NCF purpose and doctrinal basis
• The annual membership fee (US only) is $65 for practicing nurses, $50 for retirees, and $35 for full-time nursing students.
• Give gift to NCF ministry online

(Renew Membership Online takes you to the InterVarsity Christian Fellowship Online Store to process your payment.)