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CSNABC MEMBERSHIP
MEMBER APPLICATION AND ANNUAL RENEWAL FORM
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* Indicates required question
Email
*
Your email
NAME
*
Your answer
SCHOOL DISTRICT
*
Bensalem
Bristol Boro
Bristol Township
Bucks County IU
Bucks County Technical HS
Centennial
Central Bucks
Council Rock
Middle Bucks Institute of Technology
Morrisville
Neshaminy
Palisades
Pennridge
Pennsbury
Quakertown City
Other* Please Identify below
Student* Please identify below
Retirees, Students or "Other" Schools Please Identify the District
Your answer
Please identify all that apply
I am an Active Member *Membership is $30.00
I am a current member of NASN/PASNAP * See next question
I am a Retiree. * Memebership is $15.00
I am a Student * Membership is $15.00
I am the District Coordinator, Co-Coordinator, or Contact person
Please include your NASN Number (to get Act 48, PASNAP is requesting digital logs, we will need this number in advance of the meeting.)
Your answer
Please include your PPID Number (to get Act 48, PASNAP is requesting digital logs, we will need this number in advance of the meeting.)
Your answer
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