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Please use the <a href="https://mypnaa.wildapricot.org/membership-form">Register / Renew Now</a> buttons for any new applications.</p> </div> </div></div> </div></div></div></td><td style="" data-componentId="MkyIVPv_separator" class="WaLayoutSeparator"><div style="width: inherit;"></div></td><td id="id_xcpLCYb" data-componentId="xcpLCYb" class="WaLayoutItem" style="width:75%;"><div id="id_jhODz8X" class="WaLayoutPlaceHolder placeHolderContainer" data-componentId="jhODz8X" style=""><div style=""><div id="id_pgI3E2E" class="WaGadgetFirst WaGadgetContent gadgetStyleNone" style="" data-componentId="pgI3E2E" ><div class="gadgetStyleBody gadgetContentEditableArea" style="" data-editableArea="0" data-areaHeight="auto"> <p align="center"><font style="font-size: 15px;" color="#ED1C24"><em><strong><font>*</font></strong></em></font><font color="#ED1C24"><strong><font>Additional  Chapter Fees are separate from your national dues; please see next page</font></strong></font><font style="font-size: 15px;" color="#ED1C24"><em><strong><font>.*</font></strong></em></font><br></p></div> </div><div id="id_vZ3MJXZ" class="WaGadget WaGadgetMembershipApplication WaGadgetPublicWizard gadgetStyleNone WaGadgetMembershipApplicationStateSelectLevel" style="margin-right:20px;" data-componentId="vZ3MJXZ" ><div class="gadgetStyleBody " style="" data-areaHeight="auto"> <form method="post" action="" onsubmit="javascript:return WebForm_OnSubmit();" id="form" data-disableInAdminMode="true"> <div class="aspNetHidden"> <input type="hidden" name="__VIEWSTATE" id="__VIEWSTATE" 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</script> <input type="hidden" name="FunctionalBlock1$contentModeHidden" id="FunctionalBlock1_contentModeHidden" value="1" /> <script type="text/javascript" language="javascript"> (function () { if (!window.CookieWarningBox) { window.CookieWarningBox = {}; } CookieWarningBox.pageParsed = pageParsed; var messageBoxId = 'FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_cookieWarningBox_messageBox' + '_idConfirmWindowStyle', messageBox; function pageParsed() { messageBox = document.getElementById(messageBoxId); if (WA.isWidgetMode || browserInfo.clientCookiesEnabled()) { messageBox.style.display = 'none'; } } })(); </script> <div id="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_cookieWarningBox_messageBox_idConfirmWindow" class="commonMessageBox"> <div id="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_cookieWarningBox_messageBox_idConfirmWindowStyle" class="confirmWindowWarning messageBox"> <div class="cww"> <div class="cww1"></div> <div class="cww2"></div> <div class="cww3"></div> <div class="cww4"></div> </div> <div class="cww-inner"> <div class="cww-co"> <div id="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_cookieWarningBox_messageBox_messageText" class="text">Warning: browser cookies disabled. Please enable them to use this website.</div> </div> </div> <div class="cww"> <div class="cww4"></div> <div class="cww3"></div> <div class="cww2"></div> <div class="cww1"></div> </div> </div> </div> <input name="FunctionalBlock1$ctl00$memberApplicationMain$ctl00$stepTemplate$wctxId" type="hidden" id="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_wctxId" value="c2ef81bc74614f43aa4ae489455c6404" /> <input name="FunctionalBlock1$ctl00$memberApplicationMain$ctl00$stepTemplate$wcsrf" type="hidden" id="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_wcsrf" value="c0b4843ec7324c0db84e4ebde04c1661" /> <div class="generalFormOuterContainer" id='idGeneralFormContainer'><div class="cornersContainer"><div class="topCorners"><div class="c1"></div><div class="c2"></div><div class="c3"></div><div class="c4"></div><div class="c5"></div><div class="r1"><div class="r2"><div class="r3"><div class="r4"><div class="r5"></div></div></div></div></div></div></div><div class="generalFormContainer"><div class="d1"><div class="d2"><div class="d3"><div class="d4"><div class="d5"><div class="d6"><div class="d7"><div class="d8"><div class="d9"><div class="inner"> <div class="formOuterContainer"> <div class="cornersContainer"><div class="topCorners"><div class="c1"></div><div class="c2"></div><div class="c3"></div><div class="c4"></div><div class="c5"></div></div></div> <div class="formContainer"><div class="d1"><div class="d2"><div class="d3"><div class="d4"><div class="d5"><div class="d6"><div class="d7"><div class="d8"><div class="d9"><div class="inner"> <div class="formTitleOuterContainer"> <div class="cornersContainer"><div class="topCorners"><div class="c1"></div><div class="c2"></div><div class="c3"></div><div class="c4"></div><div class="c5"></div></div></div> <div class="formTitleContainer"><div class="d1"><div class="d2"><div class="d3"><div class="d4"><div class="d5"><div class="d6"><div class="d7"><div class="d8"><div class="d9"><div class="inner"> <h3 class="formTitle"> Select membership level </h3> <div class="mandatoryFieldsTitle"> <span class="mandatorySymbol"> * </span> <strong> Mandatory fields </strong> </div> </div></div></div></div></div></div></div></div></div></div></div> <div class="cornersContainer"><div class="bottomCorners"><div class="c5"></div><div class="c4"></div><div class="c3"></div><div class="c2"></div><div class="c1"></div></div></div> </div>  <div class="generalFieldsOuterContainer"><div class="cornersContainer"><div class="topCorners"><div class="c1"></div><div class="c2"></div><div class="c3"></div><div class="c4"></div><div class="c5"></div><div class="r1"><div class="r2"><div class="r3"><div class="r4"><div class="r5"></div></div></div></div></div></div></div><div class="generalFieldsContainer"><div class="d1"><div class="d2"><div class="d3"><div class="d4"><div class="d5"><div class="d6"><div class="d7"><div class="d8"><div class="d9"><div class="inner"> <div id="idSectionMembershipLevelContainer" class="sectionOuterContainer"> <div class="cornersContainer"><div class="topCorners"><div class="c1"></div><div class="c2"></div><div class="c3"></div><div class="c4"></div><div class="c5"></div></div></div> <div class="sectionContainer"><div class="d1"><div class="d2"><div class="d3"><div class="d4"><div class="d5"><div class="d6"><div class="d7"><div class="d8"><div class="d9"><div class="inner"> <div id="idMembershipLevelRadioGroupContainer" class="groupContainer standAloneGroupContainer"> <div class="fieldSubContainer radioGroupContainer"> <div class="fieldLabel"> <span id="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_atLeastOneLevelSelected" class="mandatorySymbol">*</span> <strong class="mandatoryLabel"> Membership level </strong> </div> <div class="fieldBody"> <div class="groupBodyVertical"> <div class="fieldItem"> <span class="typeRadioContainer"> <input class="typeRadio" membershipfee="50.0000" levelid="818251" id="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_levelListView_membershipLevelsRepeater_ctl00_membershipLevelRadio" type="radio" name="membershipLevel" value="FunctionalBlock1$ctl00$memberApplicationMain$ctl00$stepTemplate$levelListView$membershipLevelsRepeater$ctl00$membershipLevelRadio" onclick="Wizard.SetRadioChosen();" /> </span> <span class="label"> <label id="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_levelListView_membershipLevelsRepeater_ctl00_membershipLevelRadioLabel" Class="levelProperties" For="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_levelListView_membershipLevelsRepeater_ctl00_membershipLevelRadio"> <span class="textLine"> <strong class="labelTitle"> <span id="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_levelListView_membershipLevelsRepeater_ctl00_levelView_levelLabel">Active Member (1 year)</span> </strong> <strong class="labelSubTitle"> <span id="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_levelListView_membershipLevelsRepeater_ctl00_levelView_price" class="levelPrice">- $50.00 (USD)</span> </strong> </span> <span class="textLine typeInstruction"> <span id="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_levelListView_membershipLevelsRepeater_ctl00_levelView_renewal" class="levelRenewal">Subscription period: 1 year</span> </span> <span class="textLine typeInstruction"> <span id="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_levelListView_membershipLevelsRepeater_ctl00_levelView_recurring" class="levelRecurring">No automatically recurring payments</span> </span> </label> </span> </div> <div class="fieldItem"> <span class="typeRadioContainer"> <input class="typeRadio" membershipfee="100.0000" levelid="818252" id="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_levelListView_membershipLevelsRepeater_ctl01_membershipLevelRadio" type="radio" name="membershipLevel" value="FunctionalBlock1$ctl00$memberApplicationMain$ctl00$stepTemplate$levelListView$membershipLevelsRepeater$ctl01$membershipLevelRadio" onclick="Wizard.SetRadioChosen();" /> </span> <span class="label"> <label id="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_levelListView_membershipLevelsRepeater_ctl01_membershipLevelRadioLabel" Class="levelProperties" For="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_levelListView_membershipLevelsRepeater_ctl01_membershipLevelRadio"> <span class="textLine"> <strong class="labelTitle"> <span id="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_levelListView_membershipLevelsRepeater_ctl01_levelView_levelLabel">Active Member (2 Years)</span> </strong> <strong class="labelSubTitle"> <span id="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_levelListView_membershipLevelsRepeater_ctl01_levelView_price" class="levelPrice">- $100.00 (USD)</span> </strong> </span> <span class="textLine typeInstruction"> <span id="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_levelListView_membershipLevelsRepeater_ctl01_levelView_renewal" class="levelRenewal">Subscription period: 2 years</span> </span> <span class="textLine typeInstruction"> <span id="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_levelListView_membershipLevelsRepeater_ctl01_levelView_recurring" class="levelRecurring">No automatically recurring payments</span> </span> </label> </span> </div> <div class="fieldItem"> <span class="typeRadioContainer"> <input class="typeRadio" membershipfee="50.0000" levelid="819893" id="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_levelListView_membershipLevelsRepeater_ctl02_membershipLevelRadio" type="radio" name="membershipLevel" value="FunctionalBlock1$ctl00$memberApplicationMain$ctl00$stepTemplate$levelListView$membershipLevelsRepeater$ctl02$membershipLevelRadio" onclick="Wizard.SetRadioChosen();" /> </span> <span class="label"> <label id="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_levelListView_membershipLevelsRepeater_ctl02_membershipLevelRadioLabel" Class="levelProperties" For="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_levelListView_membershipLevelsRepeater_ctl02_membershipLevelRadio"> <span class="textLine"> <strong class="labelTitle"> <span id="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_levelListView_membershipLevelsRepeater_ctl02_levelView_levelLabel">Associate Member (1 Year)</span> </strong> <strong class="labelSubTitle"> <span id="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_levelListView_membershipLevelsRepeater_ctl02_levelView_price" class="levelPrice">- $50.00 (USD)</span> </strong> </span> <span class="textLine typeInstruction"> <span id="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_levelListView_membershipLevelsRepeater_ctl02_levelView_renewal" class="levelRenewal">Subscription period: 1 year</span> </span> <span class="textLine typeInstruction"> <span id="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_levelListView_membershipLevelsRepeater_ctl02_levelView_recurring" class="levelRecurring">No automatically recurring payments</span> </span> </label> </span> </div> <div class="fieldItem"> <span class="typeRadioContainer"> <input class="typeRadio" membershipfee="100.0000" levelid="824170" id="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_levelListView_membershipLevelsRepeater_ctl03_membershipLevelRadio" type="radio" name="membershipLevel" value="FunctionalBlock1$ctl00$memberApplicationMain$ctl00$stepTemplate$levelListView$membershipLevelsRepeater$ctl03$membershipLevelRadio" onclick="Wizard.SetRadioChosen();" /> </span> <span class="label"> <label id="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_levelListView_membershipLevelsRepeater_ctl03_membershipLevelRadioLabel" Class="levelProperties" For="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_levelListView_membershipLevelsRepeater_ctl03_membershipLevelRadio"> <span class="textLine"> <strong class="labelTitle"> <span id="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_levelListView_membershipLevelsRepeater_ctl03_levelView_levelLabel">Associate Member (2 Years)</span> </strong> <strong class="labelSubTitle"> <span id="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_levelListView_membershipLevelsRepeater_ctl03_levelView_price" class="levelPrice">- $100.00 (USD)</span> </strong> </span> <span class="textLine typeInstruction"> <span id="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_levelListView_membershipLevelsRepeater_ctl03_levelView_renewal" class="levelRenewal">Subscription period: 2 years</span> </span> <span class="textLine typeInstruction"> <span id="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_levelListView_membershipLevelsRepeater_ctl03_levelView_recurring" class="levelRecurring">No automatically recurring payments</span> </span> </label> </span> </div> <div class="fieldItem"> <span class="typeRadioContainer"> <input class="typeRadio" membershipfee="50.0000" levelid="824467" id="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_levelListView_membershipLevelsRepeater_ctl04_membershipLevelRadio" type="radio" name="membershipLevel" value="FunctionalBlock1$ctl00$memberApplicationMain$ctl00$stepTemplate$levelListView$membershipLevelsRepeater$ctl04$membershipLevelRadio" onclick="Wizard.SetRadioChosen();" /> </span> <span class="label"> <label id="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_levelListView_membershipLevelsRepeater_ctl04_membershipLevelRadioLabel" Class="levelProperties" For="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_levelListView_membershipLevelsRepeater_ctl04_membershipLevelRadio"> <span class="textLine"> <strong class="labelTitle"> <span id="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_levelListView_membershipLevelsRepeater_ctl04_levelView_levelLabel">Member-at-Large (1 year)</span> </strong> <strong class="labelSubTitle"> <span id="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_levelListView_membershipLevelsRepeater_ctl04_levelView_price" class="levelPrice">- $50.00 (USD)</span> </strong> </span> <span class="textLine typeInstruction"> <span id="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_levelListView_membershipLevelsRepeater_ctl04_levelView_renewal" class="levelRenewal">Subscription period: 1 year</span> </span> <span class="textLine typeInstruction"> <span id="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_levelListView_membershipLevelsRepeater_ctl04_levelView_recurring" class="levelRecurring">No automatically recurring payments</span> </span> </label> </span> </div> <div class="fieldItem"> <span class="typeRadioContainer"> <input class="typeRadio" membershipfee="0.0000" levelid="1497464" id="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_levelListView_membershipLevelsRepeater_ctl05_membershipLevelRadio" type="radio" name="membershipLevel" value="FunctionalBlock1$ctl00$memberApplicationMain$ctl00$stepTemplate$levelListView$membershipLevelsRepeater$ctl05$membershipLevelRadio" onclick="Wizard.SetRadioChosen();" /> </span> <span class="label"> <label id="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_levelListView_membershipLevelsRepeater_ctl05_membershipLevelRadioLabel" Class="levelProperties" For="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_levelListView_membershipLevelsRepeater_ctl05_membershipLevelRadio"> <span class="textLine"> <strong class="labelTitle"> <span id="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_levelListView_membershipLevelsRepeater_ctl05_levelView_levelLabel">Undergrad Student</span> </strong> <strong class="labelSubTitle"> <span id="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_levelListView_membershipLevelsRepeater_ctl05_levelView_price" class="levelPrice">- Free</span> </strong> </span> <span class="textLine typeInstruction"> <span id="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_levelListView_membershipLevelsRepeater_ctl05_levelView_renewal" class="levelRenewal">Subscription period: 1 year</span> </span> <span class="textLine typeInstruction"> <span id="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_levelListView_membershipLevelsRepeater_ctl05_levelView_recurring" class="levelRecurring">No automatically recurring payments</span> </span> <span class="textLine extraInfo typeInstruction"> <span id="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_levelListView_membershipLevelsRepeater_ctl05_levelView_description" class="levelDescription">Any student actively enrolled in an accredited prelicensure Registered Nursing program.</span> </span> </label> </span> </div> <span id="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_levelListView_editMembershipLevelDataChangeValidator" style="display:none;"></span> </div> </div> </div> </div> </div></div></div></div></div></div></div></div></div></div></div>  <div class="cornersContainer"><div class="bottomCorners"><div class="c5"></div><div class="c4"></div><div class="c3"></div><div class="c2"></div><div class="c1"></div></div></div> </div>  <div 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class="c3"></div><div class="c2"></div><div class="c1"></div></div></div></div> <div id="FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_validationSummary" style="height:0px;display:none;"> </div> <script type="text/javascript"> (function () { var cancel = WA.$('FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_cancel', window), cancelNoScript = WA.$('FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_cancelNoScript', window), cancelTop = WA.$('FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_cancelTop', window), cancelTopNoScript = WA.$('FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_cancelTopNoScript', window), prev = WA.$('FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_prev', window), prevNoScript = WA.$('FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_prevNoScript', window), prevTop = WA.$('FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_prevTop', window), 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document.getElementById("FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_validationSummary"); FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_validationSummary.headertext = "Some required fields are missing or invalid:"; FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_validationSummary.showmessagebox = "True"; FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_validationSummary.showsummary = "False"; FunctionalBlock1_ctl00_memberApplicationMain_ctl00_stepTemplate_validationSummary.validationGroup = "WizardValidationGroup"; //]]> </script> <div class="aspNetHidden"> <input type="hidden" name="__VIEWSTATEGENERATOR" id="__VIEWSTATEGENERATOR" value="2AE9EEA8" /> </div> <script type="text/javascript"> //<![CDATA[ if (window.DataChangeWatcher) {DataChangeWatcher.startWatching('', 'Unsaved changes will be lost. 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