Membership Join/Renewal Registration Form
Please fill in the form below. By registering online, you must pay via Pay-Pal. Additional fees apply. You CANNOT send in a check. When you click "Submit", you will be directed to pay via Pay-Pal.
Email address *
Are you: *
Full Name: *
Your answer
Current Address: *
Your answer
Phone Number: *
Your answer
RID number:
Your answer
Authorizations and Certifications: *
If you hold more than one certification, please use the other option at the bottom and list your credentials.
Membership Category: *
District Selection: *
For District Selection, if you choose more than one district, your membership dues will be split by those districts per the Bylaws or Policies and Procedures stipulation.
Membership Directory: *
Membership Directory *Opt-in/Opt-out*. The directory will include your name, address, email and district affiliation. There are a couple of options you can choose for this directory. 1) Have all your information listed above in the directory. 2) Have only your name, email and certifications listed in the directory. 3) Not be included in the directory at all. Please choose one of the following options.
Please read: I have read, understand and agree to adhere to the RID-NAD Professional Code of Conduct and to Colorado Revised Statute 6-1-707(1)(e)C.R.S. *
Do you agree with the above statement?
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