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Membership Application

Membership Application for July 1, 2023 - June 30, 2024
Membership Levels:
  • Active: $60
  • Student: $30
  • Retired: $30
RD, LD, BS, MA, MS, MPH, PhD, FADA, EdD, CNSD, CDE
Your name, employer, job title and area of practice information will be used in our member directory, your personal contact information will not be used.
Your name, employer, job title and area of practice information will be used in our member directory, your personal contact information will not be used.
Your name, employer, job title and area of practice information will be used in our member directory, your personal contact information will not be used.
I, ______________________________________________ , consent to the unrestricted use, by Dietitians of Central Texas (DCTX) (and those acting with its permission and authority), of any and all media taken, in whole or in part, unlimited use, for all purposes in any form or medium, including, without limitation, its use through or on any electronic media, including the Internet. I waive any right to inspect or approve the finished product or products or the advertising copy or printed matter that may be used with the finished media. Further, I relinquish all rights, titles and interest I may have in the finished media, negative(s) and reproduction to any responsible business firm or publication. It is understood that Dietitians of Central Texas (DCTX) retains copyright of media at all times under the express understanding and agreement that Dietitians of Central Texas (DCTX) shall have exclusive reproduction rights to the media. I hereby release Dietitians of Central Texas (DCTX) from any and all claims in connection with the media, including any and all claims of libel.

After submitting this form, you will be redirected to the membership payment page.
*Please note that your membership will NOT be active until you select your membership level on the following page and complete your payment.*
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