2017 Baptist Nursing Fellowship Online Membership Form

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2017 Online Membership Form

Name*

Address:*

City:*

State:*

Zip:*

Country:*

Birthday:*

Date

Phone:*

Email:

BNF has a Member's Only web site where our membership directory is accessible for other BNF members. Is it okay to list the contact information above in this directory?*

Yes. It is okay to list my information.No. Please keep my information confidential.

Is this membership being given as a gift?*

YesNo

If yes, who is it given by?

Are you joining national BNF for the first time or is this membership a renewal?*

I am joining national BNF for the first time.I am renewing my national BNF membership.

How did you first learn about BNF? Please be as specific as possible. *

National BNF sends out a newsletter once a quarter, The Lamplighter. We like to feature new members in the newsletter. Would you be open to being featured in The Lamplighter?

Yes. You may contact me about a feature in The Lamplighter.No. I would prefer not to be featured in The Lamplighter.

Specialty:

Educational Level*

Missionary:*

Profession*

Types of Personal Ministry that Interest You:

Church Name:

Please indicate the profession and state/region in which you would like to join. Please note that several states do not currently have an active BNF; therefore they do not have state BNF fees. Please also note that each state BNF sets its own state fees, so there are different fees per state/region.

Registered Nurse

Licensed Practical Nurse

Other professional fields

Retired Nurse

Student Nurse

Missionary Nurse

Retired Missionary Nurse

Once you submit this form, you will automatically be redirected to an online payment page.

*If you are a Missionary Nurse or Retired Missionary Nurse, you can close out of the online payment page.

Membership Information

Professional and Ministry Information

Membership Fees