Your Profile

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Membership Information

Please select the appropriate membership category.

Membership:

Attention Magazine Print Subscription - Join $39.99

CHADD Organizational Member (Join $495.00)

Contact Information

Please fill out your contact information. For US and Canada addresses, please select the state or province where your home is located. For International locations, please fill out "State/Province (Foreign)" entry box if needed.

Organization or Company Name: Department: First Name: Last Name: Job Title: Email Address: Preferred Phone Number: Fax: Office Mailing Address 1: Office Mailing Address 2: City: State/Territory/Province (USA and Canada): State/Province (Foreign): Zip/Postal Code: - Country:

Automatic Membership Renewal

Automatically renew your membership for uninterrupted CHADD access.

By checking this box I authorize CHADD to charge my credit card for the amount listed above, and to renew my membership, without interruption, each year at the renewal rate for my member category. I understand that I will be charged immediately for this year's membership fee, that I will be notified before my credit card is charged in future years, and that I can cancel or activate my automatic renewal at any time.

CHADD Member Login Information

Please create a Login Name and Password so you can access the members only portion of the CHADD website. There are additional valuable resources available exclusively to members that you can access through the website. The password must be at least 8 characters in length and include a number.

Login Name: Password: Retype Password:

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