Registered Dietitian Nutritionists - Bringing the science of food and nutrition to tables across the Mountain State.

2012 West Virginia Academy of Nutrition and Dietetics Annual Meeting Registration Form

Pre-Registration Deadline for Sessions: May 8, 2012

Complete the Registration Information below. Click PAY NOW to complete your registration.

Contact Information

First Name Last Name Credentials Name to appear on badge Academy membership # Street Address Street Address 2 City State ZIP Day Phone Fax E-mail Address Job Title Employer

Registration Information

Membership Status

You must be a member of the Academy of Nutrition and Dietetics Association to receive the member registration rate.
Choose Member type:
Academy Member Non Member Student Member Retired Member

Registration Status	Academy Member*	Non-Member	Student Member*	Retired Member
Please check your selection:
Catharine Powers "Feeding Children" (Does not include lunch)	$30	$45	$0	$0
Don Davis "Dietetic Licensure" (Does not include lunch)	$20	$30	$0	$0
Mike Oliverio "Public Policy" (Does not include lunch)	$20	$30	$0	$0
Jim Painter "International Food Guides" (Does not include lunch)	$20	$30	$0	$0
Susan Poindexter "Viva Mexico" (Does not include lunch)	$20	$30	$0	$0
Sylvia Escott-Stump "Members Matter" (Does not include lunch)	$20	$30	$0	$0
Lynn Spalding "Fiber, Prebiotics and Probiotics and the Elderly" (Does not include lunch)	$20	$30	$0	$0
Peter Beyer "Nutritional Implication of Crohn's Disease" (Does not include lunch)	$20	$30	$0	$0
Moira Gledhill "Food Service and Healthcare Reform" (Does not include lunch)	$20	$30	$0	$0
Jill Johnston "Coding for Malnutrition�A Success Story" (Does not include lunch)	$20	$30	$0	$0
Sarah-Jane Bedwell "Nutrition and Eye Health" (Does not include lunch)	$20	$30	$0	$0

Please click the Pay Now link below to complete your registration through PayPal. NOTE: Even if your registration is **free**, please click the Pay Now link to complete your registration and you will not be charged.

By Clicking Pay Now above, you will be taken to the PayPal Payment Center where you can pay with an existing PayPal account. Don't have a PayPal account or do not want to use your existing PayPal account? From the PayPal Payment Center, choose the option that says "Use your credit card or bank account (where available)" to pay with a credit card.

*Valid ADA Membership cards are required at time of registration. Students must be full time with documentation from advisor and pre-registered.
Questions?: Cindy Gay, cndgay@comcast.net