International Membership Application

International Membership may be granted to any individual who resides outside of the United States and will support and promote the objectives of the American Dental Assistants Association. International membership is for one full year (365 days) from the time the dues payment is processed. Membership will become effective following receipt and processing of application. Membership is $60 USD (only Visa or Mastercard payments accepted) and includes free on-line continuing education courses.
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Contact Information

First Name
Middle
Last Name
Suffix
Title
Email
Primary Phone
Birthday ?
Company/Business Name
Mailing Address *Be sure to include Apt or Unit # in the address field, if applicable.
Address
City
State
Zip Code/Province
Country
Certification is NOT required to join ADAA. List credentials below in order of importance. Only the first 20-25 characters, including your name, will appear on your membership card.
Credentials
Please check the applicable fields that represent your duties as a Dental Assistant. Please use Ctrl (PC) or COMMAND (MAC) to multi-select.
Duties
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Membership

Included in the International membership: all online continuing education courses in the ADAA E-Learning system, BizLibrary (access will be given the morning after you join, after 8:00am Central), access to the e-newsletter, 24/7, and other newsletters online (when they become available). Also included is access to the online The Dental Assistant journal and applicable member benefits.

International membership dues = $50.00 USD

National Dues
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NO PORTION OF ADAA FEES ARE REFUNDABLE OR TRANSFERABLE
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