UAND Subscriber/Supporter Application

UAND Subscriber/Supporter Application
Name:*

First NameLast Name
Credentials
(e.g. MS, RD)
Phone Number
E-mail*
Profession (if applicable)
(e.g. nurse, personal trainer, etc.)
Subscriber = Professional affiliation or interest; not an AND member or RD/RDN
Supporter = Academy member wishing to join an additional affiliate
Membership Category*

SubscriberSupporter
Important Note to RDNs: If you are not a paid member of the Academy of Nutrition and Dietetics affiliated with a state outside of Utah, you cannot be a UAND Supporter member. Registered Dietitians must pay Academy dues to receive member benefits (e.g. discounted registration for conferences).
Primary Affiliation*
Primary state of affiliation w/Academy membership
Comments

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Fee

Determined by application date
Choose only one below (consistent with the date of this application):*
prevnext( X )
June to August$50.00

September to November$37.50

December to February$25.00

March to May$12.50
In submitting this application, I understand that my UAND Subscriber or Supporter membership is subject to review and acceptance by the Utah Academy of Nutrition and Dietetics and that this membership can be revoked at any time without monetary refund. I understand that this membership does not allow me to represent UAND in any manner. I also state that I have provided accurate information in this application to the best of my knowledge.
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Fee