Membership Types - National Association of Social WorkersMembership at the Academy of Nutrition and 2026

1. Click ‘Get Form’ to open it in the editor.
2. Select your desired membership type by checking the appropriate box. Options include Active, Retired, Associate, New Practitioner, and Student Memberships.
3. Fill in your personal information including Name, Email Address, Pharmacy/Organization, Business Address, and Home Address. Ensure all fields are completed accurately.
4. Indicate your E-Profile# and License#, along with your Date of Birth (MM/DD) and Graduation Year from Pharmacy School.
5. Choose your Current Practice Setting and Position by circling the relevant options provided.
6. If you wish to contribute voluntarily to PAC or other funds, enter the amounts in the Contribution Options section.
7. Complete payment details if applicable, including credit card information or check number.
8. Finally, review all entries for accuracy before submitting via mail or fax as indicated on the form.

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