GEORGIA ATHLETIC DIRECTORS ASSOCIATION
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Membership Application

Print, mail, fax or email in your membership registration form

Effective July 1, 2013
DUAL GADA-NIAAA Memberships
fees are $140 ($145.60 if paid via PayPal)


We no longer offer GADA only Memberships

Updated: 6/12/14
Membership Application Forms:

Click to Download

MS Word

PDF


Fax # (678) 262-3664


  Memberships via Paypal
includes a 4% processing fee.

2014-15 GADA-NIAAA MEMBERSHIP

$140.00
Using Paypal includes a 4% processing fee
$145.60 Total

Click the Pay Now button below to begin the payment process.


2014-15 GADA/NIAAA Dual Membership Application


Please submit this form when joining via Paypal.

SUBMITTING THIS FORM ALONE DOES NOT PROCESS THE PAYPAL TRANSACTION.  PLEASE USE THE ADD TO CART BUTTON ABOVE.

Gender, DoB, and Ethnicity are requested by the NIAAA for Dual Membership

Full Legal Name: *
 Gender:
MaleFemale
Date of Birth: *
Ethnicity: *
Job Title: *
School Name: *
Address Street 1: *
Address Street 2:
City: *
State:
Zip Code: * (5 digits)
Additional Information
Years AD Exp. :
 Certification(s): CAA
CMAA
Contact Information
Office Phone: *
Cell Phone:
Work Email: *
Home Email:
Membership Purchase Information
 Check One:
GADA-NIAAA Dual Membership
 Check One:
New MemberRenewal
Total Amount: (USD)
Other Information
Comments:

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