Membership Join/Renewal Registration Form
Please fill in the form below. By registering online, you must pay via Pay-Pal. Additional fees apply. You CANNOT send in a check. When you click "Submit", you will be directed to pay via Pay-Pal.
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Email *
Are you: *
Full Name: *
Current Address: *
Phone Number: *
RID number:
Authorizations and Certifications: *
If you hold more than one certification, please use the other option at the bottom and list your credentials.
Required
Membership Category: *
Membership Directory: *
Membership Directory *Opt-in/Opt-out*.  The directory will include your name, address, email and district affiliation.   There are a couple of options you can choose for this directory.  1) Have all your information listed above in the directory.  2) Have only your name, email and certifications listed in the directory.  3) Not be included in the directory at all.  Please choose one of the following options.  
Please read: I have read, understand and agree to adhere to the RID-NAD Professional Code of Conduct and to Colorado Revised Statute 6-1-707(1)(e)C.R.S. *
Do you agree with the above statement?
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