Registration - Ontario PeriAnesthesia Nurses Association (OPANA)

Ontario PeriAnesthesia Nurses Association

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Registration

Step 1 of 3: Enter your information to register

Notes:

The current (2023) registration year is from Nov 1, 2022 to Oct 31, 2023
Registration opens Aug 1, 2022 and closes Jun 30, 2023
If you already paid for your OPANA membership through RNAO, you will have an option to choose that in Step 3 to bypass payment

Registration Information

Registration Type: *

Tax included

Personal Information

First Name: *

Last Name: *

Address: *

City: *

Province/State: *

Country: *

Postal/Zip Code: *

Phone: *

Format: ###-###-####

Cell Phone:

E-mail: *

IMPORTANT: You must enter an e-mail address above. It will be used for all correspondence. If you do not have a home e-mail, enter your work e-mail here.

Employment Information

Hospital/Employer Name:

Position:

Title:

Department:

Address:

City:

Province/State:

Country:

Postal/Zip Code:

Phone:

Ext.

Fax:

Employment Status:

Nursing Information

Are you an RNAO Member?

Yes No

RNAO Membership Number:

CNO Membership Number: *

Mailing Preferences

Please send important mail to:

Home Address
Work Address

- Yes, I am interested in receiving mail regarding OPANA promotions, news and events

- Yes, I am interested in receiving e-mail regarding OPANA promotions, news and events

Create a Password for Future Visits

For future visits to our site, you will be assigned a username and require a password. Please create a password for yourself by entering it below. Passwords must be at least 6 characters long containing letters and at least one number.

Password: *

Re-type: *

Security Question

Please solve the following: *

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