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The American Association
of Nurse Attorneys

Online Foundation Donation

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Donation

* Mandatory fields
 

Contact Details

*First name
Please enter name only, no prefix's (Dr., Mr., etc.). Visibility of any contact field can be managed in the Privacy settings section of your profile, https://taana.org/Sys/Profile/Privacy.
Middle initial
*Last name
Please enter name only, no suffix's (III, Esq., etc.)
Credentials
RN, JD, MSN, etc.
Suffix
Company/Affiliation
*Address 1
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Address 2
City
Zip/Postal Code
*Email
Mandatory. Visibility of any contact field can be managed in the Privacy settings section of your profile, https://taana.org/Sys/Profile/Privacy.
Website
Alternate Email
Work Phone
Cell Phone
Fax
*Donation Amount ($USD)
*Specify your Donation
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