Organization Membership Application

CHADD's vision is a world that recognizes, incorporates, and celebrates the strengths of those with ADHD.

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/Territory/Province (Foreign)" entry box if needed.

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

Automatic Membership Renewal

Automatically renew your membership for uninterrupted CHADD access.

By checking this box I am giving CHADD authorization to charge my credit/debit card each year to automatically renew my membership. I understand that CHADD will contact me by email just prior to the annual renewal charge being made. I know that I can change the auto-renew status of my membership at any time.I acknowledge that renewal notices will come from Customer_Service@CHADD.org and will add this email to my safe sender list.

CHADD Member Login Information

Please create a Login Name and Password so your organization 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.

Please create a generic organization login. You, as the primary account holder, will be able to create your personal login when adding sub-members on the next page. Add yourself, and up to 4 other employees, as sub-members of your Organizational membership. To publish a listing in the Professional Directory, create this under your personal account login.

Login Name: Password: Retype Password:

Participation Agreement *

By participating in CHADD activities—including membership, volunteering, events, conferences, meetings, or online spaces, you agree to follow the terms outlined in the CHADD Participation Agreement, including the dispute resolution process. Violating this agreement may result in limited or suspended access to CHADD programs and events.

I have read and agree to abide by the terms of the Participation Agreement.

I agree

Note: Membership Cancellation and Refund Policy Because membership benefits such as access to member-only areas of the web site, subscription to Attention magazine, discounts on conferences, education, etc. are fully available upon joining CHADD, memberships are not refundable. Please contact CHADD with any questions about your membership.

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