ADAA - New Member signup

ADAA Membership Application (fields in bold required)

First Name :

If you are an ADAA member or previous Continuing Education customer your account has already been created for you. We did this for you, when we received your payment or continuing education order.

If you need further assistance retrieving your password or e-mail, contact ADAA at the Customer Support number above.

ARMED FORCES PERSONNEL: You are in the wrong section, you need to go back to the home page and create an account using the appropriate link to create an Air Force or Army account.
(This includes civilian personnel working on a base.)

Middle Initial :

Last Name :

Email address :

Credentials :

Phone :

(digits only)

Work Phone :

(digits only)

Cell Phone :

(digits only)

Fax :

(digits only)

Address Line 1 :

Address Line 2 :

City :

State :

Zip :

Country :

Protect your information with a password :

Password :

Confirm password :

ADAA benefits summary: Full Member vs E-Member - more details

ADAA FULL MEMBERSHIP	ADAA E-MEMBER BENEFITS
Online & ADAA record management	Online record management only
4 Free CE hours of online education for full payment	One free 1 hr online education yearly
Professional liability insurance / AD&D Insurance (up to age 70)	NO professional liability/AD&D Insurance
Membership E-retail discounts	E-Member E-Retail discount
Renewing/New membership cards & pin	"Specialty" Membership card that can be printed online and Membership pin that can be purchased online
Fellowship/Mastership	CANNOT apply for Fellowship/Mastership
Awards eligibility	No awards eligibility
Can serve as a delegate at Annual Session	CANNOT serve as a delegate at Annual Session
Juliette Southard Scholarship – for students only	CANNOT apply for Juliette Southard Scholarship
	Continuous E-Membership until E-Member unsubscribes on website

Continuing Education (CE) Site

Protect your information with a password :