3rd District Nurses of MNA

3rd District Nurses Application

Thank you for your interest in becoming a full member of of your Professional Nurses Association. To receive your application, simply complete the form below and submit your request. If you have questions, call 3rd District Nurses at 952-920-9860.

You may also print and fax this form to 3rd District Nurses at 952-920-8689 or mail to 3rd District Nurses at 4445 West 77th St., Suite 121, Edina, MN 55435.

First Name :
M.I. :
Last Name :
Address :
City :
State :
Zip :
Home Phone :
Work Phone :
E-mail :
Employer :
Comments :
Yes, I`m a member of MNA and want to upgrade to include 3rd District Nurses membership I am applying to become both a member of MNA and 3rd District Nurses I am unable to join MNA (state organization) today, but am interested in learning more about 3D Privileges participation (be sure to check our 3D Privileges section)

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