2019-2020 Augusta District Dietetic Association Membership Application
Welcome back for another wonderful year with ADDA! To be included in the 2019-2020 ADDA Membership Directory and avoid any late fees, your membership application and payment must be submitted and paid/postmarked by September 19, 2019 (this year's Fall Banquet). If you do not become a member of ADDA but wish to attend ADDA meetings for continuing education credits, you may do so by paying $5 per CPEU offered plus any cost that may be charged to members (cost of food, etc.). Please fill out this membership application and note your application is considered incomplete until payment is received.
Email address *
First Name *
Your answer
Last Name *
Your answer
AND Membership Number *
Your answer
Personal Phone Number *
Your answer
I am a: *
I want to include the following information in the ADDA Membership Directory: *
The Membership Directory is only available to fellow members of ADDA and will not be shared with the public. The Membership Directory will be emailed to members and made available on the password protected portion of the ADDA website. Every member's name will be included. Please write your contact information as you would like it to appear in the directory. Consider including your employer/title, personal/work phone number, personal/work email address, physical address, website, specialty, etc.
Your answer
I want to include the following information on the "Find a Dietitian" section of the ADDA website: *
Each year, ADDA receives a variety of questions via our website, Facebook, and email. If you are willing to share your expertise or wish to receive referrals, please let us know what information we can post on our website or privately send to requesters. Consider including your employer/title, personal/work phone number, personal/work email address, physical address, website, specialty, referral needs, etc. You must be a current registered dietitian to be included.
Your answer
Do you use Facebook? *
We hope to start a member-only Facebook group to help members get connected, answer nutrition questions, accept local referrals, and help each other out.
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