Registration - Ontario PeriAnesthesia Nurses Association (OPANA)

Ontario PeriAnesthesia Nurses Association

The Road to Recovery

Registration

Step 1 of 3: Enter your information to register

Notes:

The current (2020) registration year is from Nov 1, 2019 to Oct 31, 2020
Registration opens Aug 1, 2019 and closes Jun 30, 2020
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
Student membership is only for full-time nursing students. Please fill in the following information to verify your student status: School Name: * Student ID: * Last Completed Term: *
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: *