Dietitians in Business & Communication DPG Friend Membership Application

We welcome you to join Dietitians in Business and Communications (DBC), a practice group of the Academy of Nutrition and Dietetics, as a "Friend". This category of membership allows individuals, organizations and corporations that are not eligible to join the Academy, to share in DBC's knowledge, expertise, networking and activities. We believe our organization will be stronger as a result of the combination of members and "Friends". Together we can reach the goals and mission of DBC.

Benefits of becoming a "Friend"

  • "Friends" will be considered to be part of our membership and will, receive newsletters and mailings.
  • As a "Friend", you can be added to our electronic mailing list (EML) and will have access to our website (including a listing in the Friend directory and access to the member side of the website). This is truly a way to become closer to us even though, eligibility in the Academy is not an option.
  • The "Friends" category will allow entrance into our group. As a "Friend", you can participate as a non-voting member of a DBC committee or task force but are ineligible to run for or hold an elected position. Membership as a "Friend" does not confer membership status in the Academy of Nutrition and Dietetics.

Friends Member Application

__ Although I am not eligible for membership in the Academy of Nutrition and Dietetics, I would like to join DBC as a Friend.

Name ______Position ______

Organization ______

Address ______City______State__ Zip_____

Telephone ______Fax ______

E-mail ______

Dues for Friends (non-Academy Members): $50.00 (individual) ____$100.00 (corporate) ___

Payment method:

By check: Payable to Academy/DPG 32 (DBC)

By credit card: ___ VISA ___ Master Card ____ American Express

Account # ______Expiration ______

Name on card ______

Signature ______

(If paying by credit card, you may fax this form to 206-935-1787or scan and email it to )

Please return this application to:

Dietitians in Business & Communication DPG, PO Box 46998, Seattle, WA 98146 (or fax – 206-935-1787 or email)

Questions? Contact the DBC office by phone at 206-935-5104 or e-mail at .

***Office Use Only Code: 132-430-3230-3201