2008-2009 PDA Membership Registration

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Join PDA>> Online Membership

Welcome to the 2008-2009 PDA Membership Registration. Registering is real easy. First, fill out your information below. Please note that only individual membership registration is available online. To enroll in the "Member Renewal with One New Member" or "2-student member registration" promotion, click here to download the Membership Application.

Once you've filled out your information, click on the affiliation that you belong to. It will take you to Step 2 of the process, Paying for Your Membership. The PDA uses PayPal, the preferred e-commerce business partner of the PDA.

Step 1 of 2: Your Information

First Name: Last Name:

Professional Suffix:

If you are already an ADA member, what is your ADA number?

Area of Practice:

Preferred Mailing Address:

City: State: Zip Code:

Business Phone: Business Phone Ext.:

Home Phone:

Email Address:

Please enter your email address again, for verification purposes:

Please check the boxes that apply to you:

Yes, I'd like to receive my PDA newsletter via email.

Yes, I'd like my name to be included on PDA label sales lists.

Please select the membership affiliation that applies to you:

	I'm a PDA member renewing my membership
	I'm a new member
	I'm a student looking to renew my membership or become a member
	Please tell us the school you attend:

Please check the box if you agree with this following statement:
I understand that PDA bylaws require ADA membership as a prerequisite to PDA membership. The PDA membership year runs from June 1st to May 31st.