Association for Size Diversity and Health

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ASDAH Membership Application

 

Open Membership

Join us if you support the Mission, Vision, and Values of ASDAH, and your work and/or personal life as a professional or advocate is in alignment with the Health At Every SizeⓇ Principles. Please review this information prior to applying for membership to confirm your commitment to  promoting wellness in a manner that does not judge, place value on, or use weight as a proxy for health.

Inclusive Membership

To reflect the organization's commitment to being inclusive and eliminating barriers to participation, membership is not restricted by capacity to pay. The recommended professional annual membership fee is $75, with a minimum recommended fee of $3. Those able to contribute at a higher level are encouraged to do so, or you may enter any fee amount between those recommended. If the minimum suggested amount presents a barrier to joining, please contact the ASDAH Membership Director so we can make individual arrangements.

Approval Process

All membership applications are manually reviewed after submission, so there may be a short delay between confirmation of payment and activation of membership. Please do not hesitate to contact the ASADAH Membership Director at the aforementioned address if you have any concerns or questions about any aspect of membership.

The information that you provide on this membership application will be used only in our internal membership records and will be password-protected. To maximize the security of your account we ask that along with selecting a password you answer one of three "secret questions" as noted below.  

 

Required *
Prefix  
First Name*  
Middle Initial  
Last Name*  
Membership Fee*  
Please enter your chosen amount
(see guidelines above)
Are you a student?  
Yes No
Occupation  
Title/Organization  
Website  
Address (mailing)*  
Address (mailing - line 2)  
City *  
State/Province*  
(Add Option = NonUs.
Canada = drop down)
Zip/Postal Code*  
Country*  
Phone (primary)*  
(Please insert hyphens for all
phone #s, e.g. xxx-xxx-xxxx)
E-Mail (login ID)*  
Confirm E-Mail*  
Password*  
(password must contain at least one capital letter, one lowercase letter, one number and one special character and be at least 8 characters in length)
Confirm Password*  
Secret Question*  
Secret Answer*  
Email for list (if different from Login ID)  
How did you hear about ASDAH?  
Tell us how you use the HAES® Principles in your work and/or personal life*  
If you identify with one or more marginalized communities and feel comfortable sharing this information, please indicate your affiliations (e.g. POC)  
Email in Member Directory  
Yes No
Phone in Member Directory  
Yes No
Are you interested in volunteering?  
Yes No
Donations to ASDAH support our effective and much-needed educational and advocacy efforts and are tremendously appreciated. NOTE: ASDAH is a non-profit organization classified as 501 (c) (6). Contributions, gifts, and dues to ASDAH are not tax deductible. ASDAH donations & dues may be deductible as business expenses -- please consult your tax professional.
Donation Amount   $
Donation Fund  
Comments/Questions  
Security Image*    Refresh

     
CAUTION: Please make sure this form is complete and accurate before selecting your payment option. Once you have clicked on Pay Online or Pay by Mail attempting to click your browser BACK button will result in an application error.


The Association for Size Diversity and Health welcomes people of all sizes and shapes regardless of race, color, national origin, religion, creed, gender, age, marital status, sexual/affectional orientation, mental or physical disability, or veteran status.
Promoting The Health At Every Size® Approach
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P.O. Box 3093 Redwood City CA 94064   ~   877-576-1102 (toll free)   ~   www.SizeDiversityandHealth.org