The
Canadian Association for Parish Nursing Ministry
CAPNM
A list server is currently online. This service is only accessible by
paid members as a membership benefit.
If you would like to become a
sponsor or would like more information, please feel free to download this handy
Word document that outlines each
of our sponsor levels (Gold, Silver, Bronze, "Friends" of CAPNM, "Spirit Angel"
for CAPNM) and help support our work in
developing Parish Nursing in Canada!!!
**
For a copy of the following form for an individual membership or donation,
please click
here.**
CANADIAN
ASSOCIATION FOR PARISH NURSING MINISTRY
2011
INDIVIDUAL MEMBERSHIP/DONOR FORM
Fee
for Jan 1 to Dec 31, 2011 $40.00
__New __Renewal
Charitable No: 86100 6534 RR 0001
Name: _______________________________ Date:________________________
Address: _______________________________ City: _________________________
Province/Territory: __________________ PC: __________ Email: ______________________
Tel (H): (_____)________________ Tel (W): ( _____)_________________
Fax: (_____)___________________ Denomination: _____________________
Faith Community Address: ______________________________________________
***Please check the category to which you belong***
___ Parish Nurse (RN hired or recognized by a faith community to carry out a health promotion ministry)
__ Retired Parish Nurse
___ Individual (any person interested in parish nursing ministry not included under another membership category)
Are you a member of CNA? Yes ___ No ___
INDIVIDUAL SPONSORSHIPS and DONATIONS
"FRIENDS" OF CAPNM: An annual $125 sponsorship to CAPNM
"SPIRIT ANGEL" for CAPNM: An annual $250 sponsorship to
CAPNM
Details on web at
www.capnm.ca/sponsors.htm
Are you interested in learning about health related seminars, conferences and research? Yes _ No __

** We are pleased to offer “PayPal” as a convenience to our Members and
Visitors to this website. There are service charges which CAPNM must absorb
when you use “PayPal” and we would kindly ask you to add $2.00 CAD
to your Individual Membership fee through “PayPal” to help offset these
service charges.
No extra charge for student membership. Thank you.
Thank you for your continued support of Parish Nursing in Canada
I would like to support the Canadian Association for Parish Nursing Ministry by making a donation of $.......................
Tax deductible receipts will be issued for donations of $10.00 or more.
Make cheque payable to "CAPNM" and mail to:
Frances Hudson, RN,
Parish Nurse,
Coordinator
56 Thames St. S. Ingersoll, ON N5C 2S9
e-mail:
parishnursing@capnm.ca
Fax: 519-485-6562 Telephone: 519-485-3390
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** For a
copy of the following form for an organization membership or donation, please
click
here.**
Name of Organization: _______________________________
Contact Person: ____________________________________
Preferred salutation: (circle) Dr. Mr. Mrs. Miss Ms Rev. Sr. Other __
Address:_________________________________________ City: ___________ Prov: _____ PC: ______
E-mail address:_______________ Tel(H):(___)____________
Tel(W):(__)______________ Fax:(__)______________
Denomination: ____________________Date: ______________
Please check the category to which you belong:
___ Faith Community (formally recognized faith community such as a congregation, presbytery, district, national office, parish or diocese.)
___ Organization (any organization interested in the parish nursing ministry, not included under any other membership category)
Fee for Jan. 1 - Dec. 31, 2011 $100.00

** We are pleased to offer “PayPal” as a convenience to our Members and Visitors to this website. There are service charges which CAPNM must absorb when you use “PayPal” and we would kindly ask you to add $5.00 CAD to your Organizational Membership fee through “PayPal” to help offset these service charges. Thank you.
SPONSORSHIPS AND DONATIONS
Our organization would like to support Canadian Association for Parish Nursing Ministry by making a donation of $.......................
Be a sponsor!
Gold sponsor: $2,500.00 and up
Silver Sponsor: $1,500.00 and up
Bronze Sponsor: $500.00 and up
See our website
www.capnm.ca/sponsors.htm.
Tax deductible receipts will be issued for donations of $10.00 or more.
Make cheque payable to “CAPNM” and mail to:
Frances
Hudson, RN,
Parish Nurse
Coordinator
56 Thames St. S. Ingersoll, ON N5C 2S9
e-mail: parishnursing@capnm.ca
Fax: 519-485-6562 Telephone: 519-485-3390
Are you interested in learning about health related seminars, conferences and research? Yes _ No __