CBDNA
 
CBDNA - About CBDNA - Membership Application


Please fill out the online application form below. Once your application has been received, it will be reviewed by our staff (usually within 1-2 business days). After we review your application and activate your account, you will receive an email with login instructions, guidelines, and other membership information. Your account is not active until it is reviewed and activated by us. If your application is rejected, you will be contacted with an explanation, and your credit card will be credited in full for the amount paid.

NOTE: Annual CBDNA dues are paid per school year and must be renewed each fall. Dues paid later in the school year are not pro-rated. Web applications submitted before September 1 are applied to the previous school year. (For example, a membership registered on August 20 will apply only to the previous school year - you will need to renew your membership after September 1 in order to be current.)

If you use a Spam Filter (such as SpamKiller, SpamAssassin, SpamArrest), you will need to make sure that you allow emails from the "cbdna.org" domain - specifically from "webmaster@cbdna.org" - otherwise your spam filter may block emails from this website - including confirmation of your application.


 (*Required Field)
*Member Category: (view categories)
Yearly Dues:
$0.00
Dues will Expire: 2017-08-31
*First Name:
*Last Name:
*Email:
 (your email address will be your username)
 
Title:
*Institution:
*Institution Address1:
Institution Address2:
*Institution City:
*Institution State:   *Zip:
(NOTE: choose "Not Applicable" if outside the US and Canada)
Institution Country:
Institution Phone:    Ext.
Institution Fax:
 
*Home Address1:
Home Address2:
*Home City:
*Home State:   *Zip:
(NOTE: choose "Not Applicable" if outside the US and Canada)
Home Country:
Home Phone:
 
Gender:
Ethnicity:
 
*Preferred Postal Mail: Institution    Home/Personal
 
 PAYMENT INFORMATION
Membership Cost:
$0.00
*Billing Firstname:
*Billing Lastname:
 Use Institution Address
Use Home Address
*Billing Address:
*Billing City:
*Billing State:
(NOTE: choose "Not Applicable" if outside the US and Canada)
*Billing Zip:
 
*Card Number:
*Expiration:   
 
*Send Confirmation Email to:
 

(DO NOT HIT THE "BACK" BUTTON
ONCE PROCESSING HAS STARTED
OR YOU MAY BE BILLED TWICE.)


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