Half Price Membership Reimbursement Request

Please refer to the instructions sheet here for additional information and frequently asked questions.

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* 1. What is your name?

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* 2. What is your mailing address?

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* 3. What is your phone number?

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* 4. What is your ONS Number?

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* 5. I acknowledge that I must sign in at the gala by 6:30PM to be eligible for reimbursement.

Yes.

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* 6. Verify your receipt has the following information. Please note: if it does not include these items, you will not be reimbursed for your membership.

Name

Receipt dated anytime from June 1, 2025, through May 1, 2026

1-year Nurse membership for ONS National

Cleveland Membership

Total Amount Paid

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* 7. Please upload a copy of your receipt.