Pennsylvania Association of Staff Nurses and Allied Professionals

I choose to join with my co-workers within PASNAP (Pennsylvania Association of Staff Nurses & Allied Professionals) for the purpose of negotiating improvements in staffing, wages, benefits and working conditions.
Date*
MM slash DD slash YYYY
Name*
First Last
Cell Phone*
Home Phone
Email*
Address*
Street Address City State ZIP Code
Hospital*
Job Title*
Shift*
Unit/Floor*
Your right to sign this card is strictly protected by state and federal law.

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