2018-2019 CTDA Annual Membership Registration Form
Mailing Address (street, city, state and zip code)
Place of Employment:
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You must be an Academy member to join CTDA
Please be sure your state affiliate is South Carolina, to change your affiliate, go to the Academy Member Payments tab of the
Academy of Nutrition and Dietetics Membership #:
Membership Type (select one):
Professional Membership ($35)
Retired Membership ($5)
Student Membership ($10) - State Affiliate must be SCAND
Check: bring to CTDA event OR mail payment to Amanda Peterson 3265 Hartwell St. Johns Island, SC 29455
Venmo: send payment to @Ambenson02 (include your first & last name and "CTDA 2018-2019" in the comments)
Cash: must provide to CTDA board member in-person
Scholarship Donation - Your donation will help us support one of our local dietetic interns. Interns can be nominated by CTDA members. Scholarships are awarded at the Spring CEU Dinner
Policy Day Donation - Your donation will help support CTDA members interested in attending the SCAND Legislative Day event in Columbia, SC to learn more about Public Policy and Advocacy for the Nutrition Profession.
For donations, please indicate how much you would like to contribute:
Questions? Email our CTDA Secretary at
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