About Us >
Join NDVDA

You can sign up online with a credit card or submit a hard copy application with personal check via snail mail.
Download the application here

- CONTACT INFO -
Name *
Credentials
Position / Title
Place of Employment
ADA Member # (Must be a VA ADA member) *
Mailing Address
Home or Mobile Phone Number
Work Number
Email *
All communications are via email unless you request U.S. mail
Email
U.S. Mail
- AREAS OF INTEREST / SUGGESTIONS -
Areas in which you would consider serving:
Attend health fairs
Write articles
Speak to groups
State Legislation / Licensure 2012
Other
Other areas in which you would like to serve:
Suggestions to improve NDVDA:
- PRIVATE PRACTICE AND CONSULTING DIETITIANS -
Please indicate if you would like your business to be listed in our Consultation and Private Practice directory under the “Find a Registered Dietitian” link on our website. Your entry will include your name and credentials, along with the information below:
Business Name
Phone
Business Address
Email
Website Address
Blog, Twitter, LinkedIn info etc
Areas of Specialty
- MEMBERSHIP APPLICATION / RENEWAL DETAILS -
Check each option that applies:
RD less than 35 yrs of age (eligible for Young Dietetian of the Year award)
RD employed for 5-10 years (eligible for Emerging Dietetic Leader Award)
DTR (eligible for Recognized Dietetic Technician of the Year)
ADA Membership Classification
RD
DTR
Student (undergrad or intern)
Dues Type
$30 NDVDA Renewal Member (includes $5 increase-postmarked after 6/30)
$25 NDVDA New Member
$15 Associate Member (For non-ADA and non-VDA members)
$15 Retired Member
$15 Student / Intern Member
Please duplicate the letters and/or numbers you see below to
verify that you are a valid user of this form.
These are the letters you will duplicate in the box below.
* required field