CAADAC - RS/RRW Complimentary Membership Application

A commitment to Excellence through advocacy, competence and ethics.

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RS/RRW Complimentary Membership Application

CAADAC RS AND RRW ONLY: Complimentary Membership Application ($100 value!)

Directions: In order for your application to be submitted, you must complete all elements of the form.

Name: Last, First, MI*:

Address: Number, Street, Apt #, City/State, Zip*:

Telephone Number*:

Email Address*:

RS or RRW Number*:

I understand that my complimentary membership does not give me the privilege of voting and does not include the Counselor Magazine subscription. I also understand and agree to comply with CAADAC Code of Ethics and any ensuing investigations.

Clicking "yes" indicates I understand I must comply with CAADAC Code of Ethics and any ensuing investigations.*:

YesNo (auto disqualifies you for membership)

To review Code of Ethics go to: http://www.caadac.org/pages/formsdocs.php

This application for Complimentary Membership is for current CAADAC RS/RRW only. If you submitted an application previously and paid dues, please note there will not be refunds made. Your RS or RRW must be current at time of application.

Checking this box indicates I understand and fully meet the requirements to qualify for complimentary membership.*:

YesNo (auto disqualifies you for membership)

This offer is time limited and expires on July 1, 2009. Any individual who previously applied and paid membership dues do not qualify for this offer. No refunds will be made for previous dues payments.

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