10 Years MembershipBy admin / April 17, 2023 10 YEARS MEMBERSHIP Price: $300 First Name:* First Name Required Last Name:* Last Name Required Email:* Email is Required Mobile Number:* Mobile Number is Required Credentials:* Credentials is Required Street address:* Street address is Required City:* City is Required State:* State is Required ZIP Code:* ZIP Code is Required Gender:* Gender is Required Male Female Other Prefer not to answer Highest Degree earned:* Highest Degree earned is Required Speciality Certification: Speciality Certification is not valid Advance Practice Provider:* Advance Practice Provider is Required Nurse Practitioner Clinical Nurse Specialist Nurse Midwife Nurse Anesthetist Not applicable How would you like to be involved in GINA?:* How would you like to be involved in GINA? is Required Professional networking Continuing education activities Mentoring Career advancement self-help group Committees/Leadership Community outreach activities Not at this time Position Description:* Position Description is Required Nurse Clinician / Staff Nurse Nurse Informaticist Academic Educator Managers / Supervisor / Coordinator Nurse Scientist Staff Educator Patient Educator Clinical Trial Nurse Quality Improvement Director VP / CNO / CEO Consultant Entrepreneur Nurse Navigator Nurse Practitioner Retired Other Email:* Invalid Email Password:* Invalid Password Password Confirmation:* Password Confirmation Doesn't Match Password Strength Password must be "Medium" or stronger Description Amount 10 Years Membership – Payment $300.00 Total $300.00 Stripe Pay with your Credit Card via Stripe Checkout Javascript is disabled in your browser. You will not be able to complete your purchase until you either enable JavaScript in your browser, or switch to a browser that supports it. No val Please fix the errors above
