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All the benefits of TNA and ANA membership, start here–one form–one fee–over 100 benefits.
The annual dues include all the benefits of membership in the American Nurses Association (ANA), the Tennessee Nurses Association (TNA), and local TNA District. Dues can be paid by Automatic Monthly Payment with a credit card or a checking account; by Automatic Annual Credit Card Payment; Annual Payment by check or credit card; by Authorization to Bill your Employer (please ask your employer first); or by Payroll Deduction through employers who have an agreement with TNA.
Personal information
First Name: Middle Initial: Last Name:
Street or PO Box:
City: State: Zip:
County: Last four digits of SSN:
Email:
Home Phone: Work Phone:
Cell: Home Fax:
Work Fax: Pager:
Employed at:
Employed as:
Employer’s Street Address:
Employer’s City: State: Zip:
Academic Degrees: Certifications:
Graduation from basic nursing program: (Month/Year) i.e. (09/1977):
RN License #: State:
Join one TNA Council free:
Advanced Practice
Direct Care
Forensics Nursing
Nursing Administration and Education
Nursing Informatics
Center for American Nurses (CAN) Membership
CAN is a professional association whose mission is to create a community of nursing organizations that serves individual, non-union nurses by providing programs, tools and policies that address their workplace concerns. Membership in CAN is included in the dues. There is no additional fee.
If you DO NOT wish to be a member of CAN, checkmark the box at left.
Membership Category (please choose one)
Employed full or part-time: $266 annually or pay by automatic bank draft of $22.67 monthly
Not employed, RNs who are full-time students, newly-licensed graduate, or age 62+ and not earning more than Social Security allows: $133 annually or pay $11.59 monthly
62+ and not employed, or totally disabled: $66.50 annually or pay $6.04 monthly
Payment Options (please choose one)
Automatic Monthly Payment Options (requires this form to be printed, signed and returned to TNA)
This is to authorize monthly electronic payments to American Nurses Association, Inc. (ANA). By signing on the line, I authorize my CMA/ANA to withdraw 1/12 of my annual dues and any additional service fees from my account.
*See Below
Automatic Monthly Payment Authorization Signature
(Please indicate if your automatic monthly payments will be from a checking account or by credit card)Checking Account: Please enclose a check for the first month’s payment, which will be drafted on or after the 15th day of each month using the account designated by the enclosed check.
Credit Card: Please complete the credit card information below and this credit card will be debited on or after the 1st of each month. Visa and MasterCard only; Discover and American Express can not be used for this payment plan.
Automatic Annual Credit Card Payment (requires this form to be printed, signed and returned to TNA)
This is to authorize annual credit card payments to American Nurses Association, Inc. (ANA). By signing on the line, I authorize my CMA/ANA to charge the credit card listed below for the annual dues on the 1st day of the month when the annual renewal is due.
*See Below
Automatic Annual Credit Card Payment Authorization Signature
*By signing the Automatic Monthly Payment Authorization or the Automatic Annual Credit Card Payment Authorization, you are authorizing ANA to change the amount by giving the undersigned thirty (30) days advance written notice. Undersigned may cancel this authorization upon receipt by ANA of written notification of termination twenty (20) days prior to deduction date designated above. Membership will continue unless this notification is received. ANA will charge a $5.00 fee for any returned drafts or chargebacks.
Annual Payment
Make check payable to TNA or fill out credit card information below.
Check Payments:
Make checks payable to TNA. Mail checks to: TNA, 545 Mainstream Drive, Suite 405, Nashville, TN 37228-1296.
Charge to:
Visa (Available for Annual or Monthly Draft Payments)
MasterCard (Available for Annual or Monthly Draft Payments)
Discover (Available for Annual Payments Only)
American Express (Available for Annual Payments Only)
Account Number (include no spaces or hyphens):
Exp. Month: Year:
Verification Code:
Authorization to Bill My Employer
Company: Contact Person:
Street or PO Box:
City: State: Zip:
(Many employers pay professional dues. TNA’s educational programs alone justify it. Ask your employer.)
Payroll Deduction
This payment plan is available only where there is an agreement between your employer and the association to make such deduction. Employers who have an agreement with TNA include VA in Nashville, Memphis and Mountain Home; Bordeaux Hospital in Nashville; Nashville General Hospital; Methodist Medical Center of Oak Ridge; Regional Medical Center in Memphis; and Bradley Memorial Hospital in Cleveland. Please see your Payroll Department for authorization form.
Employer Name
Questions? Call TNA at (615) 254-0350 or (800) 467-1350. TNA membership dues are not deductible as a charitable contribution for tax purposes, but may be deducted as a business expense. $5.42 of the TNA member dues is for subscription to The American Nurse; $16 for American Journal of Nursing.
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