ࡱ> wyvk &bjbj:: XubXub  0008hD0/:V/X/X/X/X/X/X/$14f|/9"|// FV/ V/ +h-5-f.n'F,B//0/V,5\5 --p5- |/|//5 B :  Ů, Inc. 330 N Wabash Ave, Suite 2000 | Chicago, IL 60611 Phone: 312-321-5173 | Fax: 312-673-6719  HYPERLINK "mailto:info@aaohn.org" info@aaohn.org | HYPERLINK "http://www.aaohn.org"www.aaohn.org January 1, 2023 Dear Chapter President and Treasurer: The AAOHN National Office is providing chapters the opportunity to enroll in and/or update their electronic dues payment information that will provide direct deposit of quarterly dues. If you elect to enroll in direct deposit, please complete the information below. All information received is stored within AAOHNs secured banking system and will remain confidential. If you prefer dues payment by check, please indicate this on the form below and your dues payments will be paid to the Treasurer. Please have the Chapter President or Treasurer complete and return the information below. You may return the letter to me electronically by email or by regular mail. If you have further questions, please call me at 312-321-5173 or e-mail  HYPERLINK "mailto:info@aaohn.org" info@aaohn.org Thank you, Ů Staff ------------------------------------------------------------------------------------------------------------------------------ Chapter Banking Information ------------------------------------------------------------------------------------------------------------------------------ Full Chapter Name________________________________________________________(no abbreviations) Chapter Address:____________________________________________________________ Treasurer Email (for payment notifications)_______________________________________ President Email (for payment notifications)______________________________ % Pay by Check (sign below and return) % Enroll in Direct Deposit (complete banking information below, sign and return) Chapter Name as on the Bank Account:________________________ ____ Bank Name: ______________________________________________ ____________________ Routing Number: ___ ___________________________ ______________________ Account Number: _____ ______________________________________________________ Account Type: ;WXZklɽsbZVKZjh+Uh1F.jh1F.U hkhtr0JCJOJQJaJhtrhtrCJOJQJaJjhtrCJOJQJUaJhtrCJOJQJaJhh1F.CJOJQJ\aJhh1F.CJOJQJaJhNCJOJQJaJhh1F.5CJOJQJaJhh5CJOJQJaJhN`Ph1F.5CJaJjh1F.UmHnHu;    ? @ 4 5 [ \ g gd@^@gdf@^@gd#@^@gdtr@^@gd<@^@gdZgdxh$a$gdh$a$gdCL       & 4 = J ] ĸsdssUsFsU:shtrCJOJQJaJhZh$,~CJOJQJaJhZh CJOJQJaJhZhCJOJQJaJhZhAPCJOJQJaJhZh CJOJQJaJhfh CJOJQJaJh1F.CJOJQJaJh*[CJOJQJaJhZCJOJQJaJhh1F.CJaJhh1F.CJOJQJaJhtrjh1F.U)hh1F.0JB*CJOJQJaJph  !  3 4 5 6 m     # $ % H ָ֩֩ǩǎpdpdTHh-CJOJQJaJjh-CJOJQJUaJhNCJOJQJaJhZh"CJOJQJaJhZhZCJOJQJaJhZh/CJOJQJaJh*[CJOJQJaJhZh#CJOJQJaJhZhCJOJQJaJhZh$,~CJOJQJaJhtrCJOJQJaJhZhAPCJOJQJaJhZh CJOJQJaJH I W X Y Z [ g  : ƷҊvkcWNE9hF5hF55OJQJh!t5OJQJh5OJQJh/CJOJQJaJh-OJQJh-hfOJQJh-hf5OJQJhfOJQJhZhtrCJOJQJaJh-h-CJOJQJaJhZh/CJOJQJaJhZh CJOJQJaJhtrCJOJQJaJh-CJOJQJaJ hGOh-0JCJOJQJaJjh-CJOJQJUaJ (defJLRV÷}rc[SG>hN5OJQJhF5hN5OJQJhOJQJh!tOJQJhh!tCJOJQJaJhF5hF5OJQJhF55OJQJhF5hF55OJQJh5OJQJhh5OJQJhh5CJOJQJaJh-h-5OJQJh-5CJOJQJaJhF55CJOJQJaJh!t5OJQJh!th!t5CJOJQJaJh-5OJQJefE$%%% %%%%%%%% %"%gd$,~ %gd9@^@gdN@^@gdF5gdFn$/9DEXn$$$$$($,$B$f$|$$$$$$$¹ʱʹʱʹ¹ʹʱʚʏuʚ¹ʚʹʱhF5h5OJQJhF5hN5OJQJUhF5hNOJQJhOJQJh!thF5CJOJQJaJh!tOJQJhN>*OJQJhNOJQJhF5hF5OJQJhF5h!t5OJQJhh5CJOJQJaJhhCJOJQJaJ-% Checking % Savings Signature _ _____________________ Title: _____________     Mail Form to: AAOHN, Attn: Membership, 330 N Wabash Ave, Suite 2000, Chicago, IL 60611 Fax to: 312-673-6719 E-mail scanned form to:  HYPERLINK "mailto:info@aaohn.org" info@aaohn.org $%%%% %%%%%%%% %"%$%&%Z%\%r%v%%%%&&&:&<&b&ξξ΃o_h-CJOJQJaJmH sH 'jh-CJOJQJUaJmH sH h9CJOJQJaJhNCJOJQJaJ$hNh$,~CJOJQJaJmH sH h9CJOJQJaJmH sH hNCJOJQJaJmH sH h$,~h$,~CJOJQJaJh9h Fjh FUh9hZOJQJh9OJQJ"%$%&%%&&&&&&&&& %gd9$a$gdF5 b&v&&&&&&&&&&&&&&&ɴݤvh9hZOJQJh Fh9h h$,~$hNh$,~CJOJQJaJmH sH htrCJOJQJaJmH sH (hGOh-0JCJOJQJaJmH sH 'jh-CJOJQJUaJmH sH h-CJOJQJaJmH sH $h-h-CJOJQJaJmH sH 8P:p/ =!"#$% DpnV]4(unϬ*PNG  IHDR $46gAMAPLTEٟ pHYs\F\FCA IDATx_=Kv瞫{~ۿו2RH#Fӿ@"@yI,!RI&2o !E[ QlABF +mtFm4 wݜWUZUtUZUjUnƪl@X)JU %R(AB JPP*T)JU %R(AB JPP*T)JU %R(AB JPP*T)JU %R(AB JPP*T)JU %R(AB JPP*T)JU %R(AB JPP*T)JU %R(AB JPP*T)JU %R(AB JPP*T)JU %R(AB JPP*T)JU %R(AB JPP*T)JU %R(AB JPP*T)JU %R(AB JPP*T)JU %R(AB JPP*T) *YݸsQ)4(>7}Ha4Oyk)MבBCFU %6#.',#6',ݑ=Fa8Rs6(BVPa[6U %FA)9h;m&C^/ESi> >9\x`UtSC(ݚ7 hP(v"M$y)&-P-)n 䈏ǝz) w|QNTSidl|gMQ PphKygs,MZ=O>?W qK|9{@sfxP ϙ 5WCa|<xq[^-rR`u0Q7c{OV/5+<.0n)9Ym~e;FA^ilU; H- v8t]-5qWo=͚)yp 悲(hf|n 㱥X ({+QОi2R||~:QX3B?yۉ ݦ3('nϒ(7GZ^iD9C/A\&{/ @ {~U:wH) )4PAKj8\Ùb Ss}H{IP8WKq.Hr dF aL=># 5/]\- C&Bq4' m=]÷1žN@>*sRitM>(8)t]6B`3'MKu%kHxES9שE{s@rR`f sg𑟂rp9f שYXvǐdB /Wkh0uj@` ) "8j)xҼ+BfP-P\q#l6oLDAMiy\-wV L8#)I<{g/_/gǧI eR &wR C/IY)>+V$ 9uXՙ݅$ A !BNb"g!XoR)Nb( "vyؿ~7ϩְp/0 -O15R={Е)ΖQLK3hLJ/j]:)(ZNA"i&>5aK'avMd>DIE@ߜ!.d`ߌo URfZ:Й)pm_H2ԧ-P*aq9i#Ӻ#!3ι3+C)t郹kgf aƒEx3lKdr-| V5\hU&ϟX۞*V&=:R`|.L xmuqXIsd |4=ܭ_*rߝ")S(r cA\`sMՐT)gBq =r2tV3i:~a0 4ǥ)c])#*lm> kqG8/>VU|l}?ܞS  _}\0(6 ܜIsI¶ 1+<ҟ@]10-(1>!>.s< |w*-!}^QFV8+&}(h7YyXD(4\T Z C(S>aq kPW.Q"1_u l aFAV᭯R?jc4`S |O-`H 8tp< yR:L71ǹӡs 4ʦvFh@M3;4  24GV/4(t~ک` \a[<?AC'UGĴ} \aӟ>sRPfvcGfg$6 eD[NYדa<mS5rY{7 |{jX$_tՓy wW XX$T➬q.0meQ\z2=Z/lOA[F*w|nt?YS\x~DD+466 ,@';b` LC_sQPVcA5lp"B:!EA},,CXAg}WΗ\M cA5OpB/9N y',CXgGSPW%`@ZH?ؔX4twc:ES0N}/P` <;Х|9@<{ c)9"Y!4` H`147 GI Y8&S%Bo GI Q|oSCuh&> R'V>gдM|~CXgǡє\zԦ8¶r(#,fshU(pmFNC3$Z\ ?3AUeQH}pNrr((9h Bꯂ*IFf=l+8D2gsNCOL7qӏzl"l/ǖ'{0d{ؖLK< CC{ؖLaUI+o0FB!lK\$$G2? JD##7U\z!lK(Gr)p 3Pp»_s#ֺkZe N3^:g)X{{\$`s״gxI`P Og}^:ܧ< "' HJ)IA,.:mߣñ5CwؖJ%R}#t*[g hͳ p÷ +p(LXs+Y΅ு{Ka: \<-Ӈ\ࠟ 0m/Fd n^ǭew#C6&nX{. ;3{Aim0|:e; Łg3:ѧпe9sKaX>|xZs +QƘ#+cʹ0(,qrR\t)ONt5n f^q૰t)!2~8cKzؖHB ח FU몄öX rqijgOJ?@9?V1 ٶB(<=2^48bް-2/|NFxř4hn* &Y|/A> a$轾<82mG)׉vͮ$GsVd LA#-'fMa[":d%BGr&]BjAaR{*yGr&FaM.U`P> lKe~ g ֡0p8hBwcgnŴPH^\XöH ;9CD F\# m(Qsw) avj,^(׉Nw4Z Jt{U l 0lSiV%B3JAتKˡRoYmtg4 dss,8?L$YF[¶u)X*HΌǵ{ )>qjۓ1lNoY),TKg7 W6v)MZuE5ȌG7`~2iW,clNaQ` (IőLm\IGAYCH7 9Ma0mi.MkPgtdavxu 6Y&b?#^a8 L%Qax(,}de")(NnM (h3_s.Q`4)|~dpEt,c #%lKP%=0|,9 \g-Fa>h|o(mR+,=i~ۥL.g+tǭG8 mXū˟8vxav+eF2'|`S , ^ɿPR uĘܼ# Xf Kc٭D!); xU`\sLل "OTRGAo{ gF lٶ$ O>V>GA Rg 0[b_7?LjL$e%Q7rSXJ9~ט80P$86^ =΍4XDRWBo q^JEV+֢ Px({[m%Q0sRyɜHHn_ƛx^OmYRPU4StQ}0*f:3 ̍Rt<Ln7X')Us:zV(XkS0*Oy)l+>``0p.)R R(%S0*,CY\BtLHiJ՜T3RPmP" }ztMA}HCXI<)0MQ"P0NAE\ya5 m}f iTX(SY)HPT l/5E;JAHJE):s{1 v9) )h T3Sl,aWI!Ôz3S` b(`iᠠ.#BWϒj{Ϭ+˻m[S0jLmgm٫ϣb) ݪ5)dkAmoI E6j$VO:KUX,CV ,6扡piWy,v7>dpItQP0pQfu'mbLdPUO$wRXHAO0G!1dRȖ^X0H sSx3SpOӔ@Aω2*O4O=PBAOdqQpU ꕓlmM)HZ/VG6GE\;g4 2+Xًr(P@PL6$fC!9lc`MyJL)$g) mvmH!fZr[ T"k] J\ҵ(F,RH)GY+ I;=gR kK m}6 D~ <&`.[)VQ2SͭKC-0ʎB!5l '%I$}KleSN ItZu6బ@!%kȚ4Ϲ) Hַ&c|$S,LZ {l#v BDM`Vq J/Ga}6?+,HJ3祐njh: "ssv $)܇isPw.hiêc> ԁndlK楐M3G/eiAV ³0 r}7DL4o^ʙLa/`S_!On iB) ܚ2[)bna FyQU(:X Ȱy)L^K4kpmw؆g&]#/卂)UXO礠%)خH)ٶ` 2£)mY ( +=?,^a^:wۂ)8^̃˦S}kü&Ij RPhn T ݹRPw m7m' z lsDRaKaNT{E{P>a} "Ӑ83IqDA DP HmV\e aa[( \s6N S[C\`J!!l0*46Qy4H!G aZJ[KAaPVo7+tOpAS|ҽf_ i,LR/pR8% `6(&Þ8)L̯M翦Μ)g(ćm's3Ea)}Ub?گ(h UD;!MN H_0JyJ0(OPPUJ'P~nGA[f R ")~{BAMqb_ I*p͸& +BaJ[`e" _Br8B0@ -|8( )Ou?93i "~$Uj>g-NBtBo= 2yGV 3RpꣳmQJ)n+SB5 vM\ y0GAxLBF HHmu }d'K, IDAT\K0 M JU(tRs\\6*B} n %>A C JP Bed+P輵ݢRͶQxb$5dr# (m\ az 㱊)g*6 Vݠp >󱹱<H#^aPЗ#)> Rhy)h)OVswFlB% Qa[V oGQ؊ʶEQ>k?@|W$R(BT'e'cxBsH7RG P9`CA[ 3GN!+۝ }DY)"ۥQcN.8"(CKFa Fз ~V Ҡ=( ǜEg08a|40:8}Q[٥Sλ0bȶg+TOН/۔Kr5PQPa6pr[C7="I4 )K0,0@mGA>@a":WkUlq )!S$WPkRPZ p)Iꨇݸ 6\ *B!8l ;:+/ݘ"(''o˘ȶ3S8z'C< tGy.(a z6K4XX mV'm˘ȶqʢcKMOA75)¶ed[8eQ< tGlF-c $n)i;bU ֧ՎJLZT_HA _ R[ c6>B~2b6x*ɒ(0 1|= k}t.’xS0) 8mL!$lېbB1ҿRv HyLic !3")lpE S P80)xܾd0wS%χ}9PxT7Ψ0@*S0+ wPp$E>qښB@F@[qdr$K>qb c( (33υ,h3׶/C[>q*{)g_;2RA*t}) \E>qC W0k{;pQ>q\S( 3Lw>Q\mZ_ύ G6@_$I)ijf6?a[: } xyhmN00(g([pTkZ5Iz\"ٞSfwsm+@k)8?{6^NF(E[mZZۼ t*V$ĹJڞ9lۂn0] :ܧR&s`! V>)zX샲8({5z@M/%HPaa=vS$/F#T#lS&C($F#THC碠?Цي#J099` 7(P)оEr(R.) / g CA|\LRs\",V:'3SH6HQN4(g BBBk- @ H.^:p fĭ~ Ϲ)$34 qK0NMxAEQySiDA,h S7J챙Fa(¶PM ۂ( (r؞<&ZFG;9x(@,BYj,>&(P۬t;%@ Qh{h M=P4kY(@EXoMm @N@ )xm !|IK%S,nf| +y5^ ͬJ~_5O" eaګƢi5lZjgmcWQ8¼,Uע/0S?8`P Qq+ۤ2}4MEF T7mEAd& 0 0Nנ ,UQI؊)Ma]IаOЎˍ3_mA )\w?g6 zza(:d #fOAj~ӟ d! g)+Ы(Swޕc hvY`;n PY~ƇN(@ǣg61z EFc" R8+|HMM,l8& < FvDj-پ_uH y2, F@9RKK~ Ҍ2qQOZAvzsI<3La(b,7|[I;GPU `nw_"( rpf^3Qh'#P4g€LFA) ҃gxO)Oe&d^a-iHһ!,yQmKaxfX>^ =lcGRQBAd^17!B"eج,48SB`sᑛ{V3YPH S9ij,+NkaDy(&(/&tL.ugZ0(̏t S31l3&0JULA[P)(A۔F- d[bئP|]H JضSöR81;j JBxJ{Vd ˝4]?/]BkQ:^RƂ)@OsSsZ BsER&) :㺙Lʶ)A(L,yP1 _m(0ݝ3Wx):B!%`P˭D LaxN  .J?\ nr,;7wkBDe$>(! 1K0:^ O'2Y^<Q~~LN-PhcZ_ԍES֣O NOD ιG'@#h+ @<Z LrPPb( 0A9( #\R榄eم%=M#L$(u摑P] }:,0`u"ޛxV]V G/JAixN$S;NA9f֡My R+O-^"фԉXx0}r0@Y(R'B ̈́PP~*{`$qۮ!u֦džmu4#M^!uV$l=g(IDAT:P&/BxTŪDLk3 (.QR)\;8 IG JĨ\,NCA6*[RmHP8QT7 d B!!I۽+ 80YLd>CA*:|,9fj?RJҴ6MHIA*7g -X1*\}gC=zRlIAV 1<5RP3a$ږ@(2)LnT}-2Qנ}|Pi+!s! aL~/!a㕉!5"6 !gp'sԣҡGtt.D%S6F g{նK.IA  6%qQSn+XwJ0lOP9o B_Ս5*Ԝ\c߻eIG`d s;scx0NknQ@IJk{B!!IQ}LLj{&ÇMkN0ShVm)lDy, 6 +p0Vwy9EmJwN̏&Z|'<|{F( ƖhC+7RKi5P=>F-8BҴqv(|ij*]_L ݠ۳2◦/=x 4@PCW*ߌzRNۆ+ˁpQBh)h<}onb@_$MC.)4NI2Ҏ7&gPV#7cr1:4r $laGapM y(()8 UPDע!s0q[guq۠RFS$CN*{MEig ((;ͧ}R@`,)@LZra3ЕKAAl7,􆋦;}9(6e3h pLP#a,*Snɦ_LY-EwUUa6¤,$>tՒ\2f\8ښıզ)ZeMe"E3v3N/ ۫zU:\MytI­^~E -^P? UQ0ho?[ZD!3 Nxʿ (;|ώ~TeV-?~k5s:x)/ IXJw7 &?ow޿v棏>}O|v[_MI~s7\Jwɟlt߼zi덱ὗ?w?zg!ͫWKi>+=4/~CtܘTO?_)|o޴>Aj!z)NHh!sͮL}x^ }HxHJյKX'O mPp +lNKQBqch7\)u( u lkW`JY$}*մի/|i3\omq(w8~}?4͗'[w/X޵~ݨuzώ ?`~^q?{ov$mHAtڐB)x]U)hgcNRW),M U %hf m-)]֧Lm.USX&Uk6iK 5l>}`hK Qu#Q)JЦ/SPXEPX&CEPX0j (7^ЮzڀX9)oHm@! (/Y[  |㰄m|-(ia?Ai _具o|o|SXv|}7_GTv_o/-~Ÿ7o~w_/[qF߼Op~5[)4/oٷ`+kq6|WOx߫g~s6м4#p|-w'}=s+oi*]ċi+;> +87z耬 $Plz(6phz(6 PǏSjل~gQ HnSwAE+~CңGbKU 4oⷅ=7-w}-6! m(C2庶- ޱXIC؈=!ñ{~HBc# V끶 z,2[Q턌V! (Vn= Շ~L`lFaz062Q2۽ű`l&l,VI֣؎°hl%d,pӪXlv֣X}gɭc;J*gmIwzc(^Y-|} Qϧ$ #o="[H )$u@lMGd +Ðga(_;%B 6>C[?cڷW?VƇ{xk)ڜEWikt?vO%~篲JpߪJPP*T)JU %R(AB JPP*T)JU %R(AB JPP*T)JU %R(AB JPP*T)JU %R(AB JPP*T)JU %R(AB JPP*T)JU %R(AB JPP*T)JU %R(AB JPP*T)JU %R(AB JPP*T)JU %R(AB JPP*T)JU %R(AB \IENDB`DyK yK Dhttp://www.aaohn.org/yX;H,]ą'cs 0  2 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@PJ_HmH nH sH tH @`@ BNormalCJ_HaJmH sH tH DA`D Default Paragraph FontRiR  Table Normal4 l4a (k (No List HH aK Balloon TextCJaJmHsHtHB/B @Balloon Text CharCJ^JDD *yList Paragraph ^m$F' !F OoComment Reference CJ^JaJD2D Oo Comment TextCJaJmHsHJ/AJ OoComment Text Char^JmHsHtH Hj12H OoComment Subject5\mHsHV/aV OoComment Subject Char5\^JmHsHtH :U`q: CL Hyperlink>*B*^Jph@@@ $,~Header  H$ mHsHtH6/6 $,~ Header CharCJaJ@ @@ $,~0Footer  H$ mHsHtH6/6 $,~0 Footer CharCJaJPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭Vc:E3v@P~Ds |w< x 6.  H $b&& "%& $HWx XXXXl,b$]4(unϬ*V:.@*(    S LA?. US`TUS`T#" ?B S  ?x p @ v y ')   o v y 33333;WZkl !NY23 $Zgdff+Il})4]s   ' ( 0 2 = O Z i p o r v y ;WZkl !23 $Zgdff+Il})4]s   ' ( 0 2 = O Z i p    9 o r v y 0X;qZ4H&K'dKP`S;n.z/&w< ^`OJQJo(" 2  ^`OJQJo(  pp^p`OJQJo("  @ @ ^@ `OJQJo("  ^`OJQJo("  ^`OJQJo("  ^`OJQJo("  ^`OJQJo("  PP^P`OJQJo("  ^`OJQJo( ^`OJQJo(o p^p`OJQJo( @ ^@ `OJQJo( ^`OJQJo(o ^`OJQJo( ^`OJQJo( ^`OJQJo(o P^P`OJQJo( p^p`OJQJo( @ ^@ `OJQJo(o ^`OJQJo( ^`OJQJo( ^`OJQJo(o ^`OJQJo( P^P`OJQJo(  ^ `OJQJo(o ^`OJQJo( ^`OJQJo( ^`OJQJo(o ^`OJQJo(  ^ `OJQJo( P^P`OJQJo(o  ^ `OJQJo( ^`OJQJo( ^`OJQJo(o ^`OJQJo( ^`OJQJo( ^`OJQJo(o p^p`OJQJo( @ ^@ `OJQJo( ^`OJQJo(o ^`OJQJo( ^`OJQJo( ^`OJQJo(o P^P`OJQJo(/&w`S;0X&K'Z4T0= dSƩva'`0BF34?                                    M#VMMh/K  _e -_0y~Ys$#]#L$$5%U)={+o#-D-1F.2q2z3F5G 79)<7?B=BaK:NAPN`PqTYVflXoYMZ*[ e_ybxhxi:mvoOoAptr!t%AtWwny*y$,~CLxP< [W~]h|naX/K1jk/Cq@[wf9f#_ +NenD~ wz"".ZGaf6 F Ao^&Vh @4 x @$@$UnknownG*Cx Times New Roman5Symbol3.*Cx Arial7.*@CalibriO MS MinngsMS Gothic?= .Cx Courier New;WingdingsA$BCambria Math"h:D#kFGo.o.!24 3QHP$Pxi2!xxXǾ Judy OstendorfWilson, Veronica      Oh+'0|   , 8 D P\dltJudy OstendorfNormalWilson, Veronica4Microsoft Office Word@@c@@E.no. ՜.+,D՜.+,4 hp   Grizli777   Title 8@ _PID_HLINKSADxmailto:info@aaohn.orgChttp://www.aaohn.org/Dxmailto:info@aaohn.orgDxmailto:info@aaohn.org  !"#$%&'()*+,-./0123456789:;<=>?@ABDEFGHIJLMNOPQRSTUVWXYZ[\]^_`abcdeghijklmopqrstuxRoot Entry Fp3f.nzData C1TableK35WordDocumentSummaryInformation(fDocumentSummaryInformation8nCompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q