Membership Application / Renewal

NEW!: Help us Reduce ADK's Paper Footprint!

Multi-year Memberships Now Available . . . Save on two or three year memberships, and help us to reduce the paper and postage costs for annual renewal letters and membership cards!. Available by phone right now, 800-395-8080, and coming soon to the website!

ADK is a non-profit, tax-exempt organization. Membership fees, excluding $10 for membership benefits, are tax deductible to the extent allowed by law. Please provide the following information: (* indicates required information)
 
Contact Information
 
Name: *
Address: *
City: *       State: *
Zip/Postal Code:  *    Country:
Home Phone: *    Work Phone:
EMail Address: *
Promotion Code (if applicable):
 
Enrollment Information
 
New Member - How did you hear about ADK?
 

New Members/Renewals- Your ADK membership entitles you to enroll as a Member-at-Large or as a member of one of ADK's 26 Chapters.
Please enroll/renew me in the following Chapter:

 

Optional -New Members/Renewals- You may receive newsletters from other ADK Chapters for an additional charge. Please select additional Chapter affiliations, multiple selections are allowed (point/control/left click to select multiple chapters):
 
Please choose a Membership Category:
    
 
I/We want to support the programs and services of ADK with
a donation in the amount of $:
 
Please send information about charitable gifts in estate planning.
 
If you selected a Student Membership please provide the name of the school you attend:
 
Family, Senior Family, and  Life memberships include associate/family members. If you have selected one of these categories please provide the following information:
 
Spouse:
 
Children 18 & under to be enrolled:
 
Child's Name:    Birthdate:  
Child's Name:    Birthdate: 
Child's Name:    Birthdate: 
Child's Name:    Birthdate: 
 
Billing Information
 
Credit Card:  *

Cardholder Name:*

Card Number:  *
Expiration Date (mmyy):  *
 
New Members
 
Why are you joining ADK?
Please check all that apply:

Other reasons:
 

    

If you do not receive confirmation by email within 48 hours please call the Membership Department at 1-800-395-8080 or email sally@adk.org.