Four Year ASDA Membership Form

This page is for D1 students only. If you are an incoming D1 to The Ohio State University College of Dentistry this form will allow you to sign up for a four year ASDA membership.

Instructions:
1. Please fill out this form. Make sure to click Submit.

2. Upon confirmation that the form has been submitted you MUST add the membership item to cart above and complete the checkout process as directed. You will have the option to pay using Paypal or via check.

Without payment you will not receive your benefits!

    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question