AALNC Cleveland/NEO Chapter

AALNC Northeast Ohio / Cleveland Chapter

To join our chapter or renew your membership please fill out the form below.

PLEASE NOTE: You must be a national AALNC member to belong and your membership number must be included for us to process your application. If you are not a national member and would like to apply, click here.

PAYMENT: Our yearly membership fee is $100.00 for independent LNCs and $75.00 for in-house, law firms LNCs, and student LNCs.
Please make checks out to Cleveland NEO AALNC and mail to:

AALNC NEO Chapter
PO Box 30435
Cleveland, OH 44130

APPLICATION: Please fill out the form below. If you are licensed in more than 3 states please provide additional license information in a separate e-mail to the address below. Please attach the information for your biography to be included in the yearly directory.

Questions and inquiries should be submitted to:

Amber Limbach, RN
alimbach@rnlegalsolutions.com

GENERAL INFORMATION

Name

First

Last

Credentials (e.g., BSN, RN, LNCC):

Address

Street Address
Address Line 2
City	State / Province / Region
Postal / Zip Code	Country

Phone Number

###

####

Fax Number

###

####

Email

Confirm

Web Site

Name of Business/Employer

MEMBERSHIP INFORMATION

Membership Type:

New Member

Renewal

AALNC MEMBERSHIP NUMBER: (required for local chapter membership) *

Area(s) of clinical speciality:

Testifying Expert:

Yes, indicate specialty(ies)

Testifying Specialty(ies):

Please make checks out to CLEVELAND NEO AALNC

Payment

$100.00 for independent LNCs

$75.00 for in-house, law firms LNCs, and student LNCs

WEBSITE INFORMATION

Please enter a short bio and any other information you would like listed on the website here.

Checkbox *

I certify that the above information is true and accurate.

Sign and Date *

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