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Professional Membership Form
$26

Choose Any *

New application Renewal

* Indicates required field

Name (and credentials if desired) *

Address *

City *

Zip code *

Phone Number *

Email *

AND membership number (AND membership is required to be a member of TAND) *

Please upload a copy of you AND card (NOT YOUR CDR CARD) *

Max file size: 20MB

Current job position(s) and location(s) *

Are you a VAND member? *

Yes No

I am willing to include my personal information in a TAND directory so that fellow members can contact me. (Information will be shared ONLY with fellow TAND/VAND members). *

Yes No

Do you currently serve as a preceptor for dietetic students? *

Yes No

If not, would you be willing/able to serve as a preceptor in the upcoming year?Choose One *

Yes No N/A

Which CEU topics would you be most interested in attending? *

General MNT Diabetes Renal Cardiac Wound Malnutrition Nutrition Support End of life care Health and wellness Food and security Maternal and infant Pediatric Counseling Consulting Obesity prevention and/or treatment Food service Food safety Research Public policy Entrepreneurship Ethics Cooking/culinary events Other

Please specify *

***Please don't forget to pay your due online by clicking on the Paypal button

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Home
About us
Events
Newsletter
Join now
- Professional Membership form
- Student Membership form
Members
- Job offers
- Members Directory
Contact
Resources
- Recipes

Professional Membership Form ​$26

Professional Membership Form
$26