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I am a professional CRNA... WANA PAC depends on you! Donate today to keep CRNA practice strong Easiest: on-line with PayPal I am proud to be a nurse anesthetist. I understand the importance of advocacy. I can afford $2 a day for such a worthwhile cause. I want to be a protector of my profession. I will donate $1 a day. With important issues in the upcoming session, please accept this one-time contribution of $ ___________. Go to www.wana-crna.org , click on “Donate to PAC.” Enter required information to quickly and easily give a recurring or one-time donation to WANA PAC. Name: _________________________________ Email:__________________________ Address: ________________________________ City_____________Zip:__________ Employer: _______________________________ City_____________ Zip: _________ CC: _______________________________ Exp Date: _____/____ 3 digit code:______ Amount: __________________ Make it monthly: ________ Once: _______ Authorizing Signature: ________________________________________ I authorize WANA PAC to debit my credit card for the amount shown. I amy cancel at any time. For PDC: Name: ______________________ Email:__________________________ Address: ________________________________ City_____________Zip:__________ Employer: _______________________________ City_____________ Zip: _________ Amount Enclosed: __________________ Mail form to WANA PAC, 25817 NE 2nd Court, Sammamish, WA 98074 Thanks for supporting CRNA professional practice. Almost as easy: Credit Card Requires a stamp: make checks out to WANA-PAC
