Memberships Name Username* First Name* This field can be seen by: Everyone Middle Initial This field can be seen by: Everyone Last Name* This field can be seen by: Everyone Suffix This field can be seen by: EveryoneAddressAddress to which you want association materials mailed: (Note: If your organization blocks mass mailings, like the newsletter, please give an alternate e-mail address) Street* This field can be seen by: Everyone City* This field can be seen by: Everyone State / Province / Region This field can be seen by: Everyone Zip / Postal Code This field can be seen by: Everyone Country* Select a CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDemocratic Republic of the CongoDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the CongoReunionRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwe This field can be seen by: Everyone Home Telephone This field can be seen by: Everyone Business Telephone This field can be seen by: Everyone Cell Phone This field can be seen by: Everyone E-mail* This field can be seen by: Everyone Alternate email address An alternate e-mail allows us to contact you if your primary e-mail is a business with a spam filter that prevents delivery of messages from FDAAA or the primary is not working. If you only have one e-mail account, notify MemberServices@fdaaa.org of how you should be contacted if your primary e-mail is not working.This field can be seen by: Everyone Include my contact information in the FDAAA Membership DirectoryYesThis field can be seen by: EveryoneYears worked at FDA From This field can be seen by: Everyone To For FDA Associate members, still at FDA, please enter your start date at From and for the To, enter PresentThis field can be seen by: Everyone FDA Center/Office for which you workedOCOCCCBERCDRHCDERCFSANCTPCVMOCEORAOCPPOEAOFPROMHHEOOOPLIAOCSOWHNCTROIPOLAHistorianThis field can be seen by: Everyone Job category (e.g., administrative, product reviewer, compliance officer, lab scientist, investigator, engineer, consumer affairs officers, public affairs officer, educator, writer)This field can be seen by: Only Me Current Activities - Retirement, Work, Consulting, Volunteering, etc. Please indicate what you are currently doing, even if you are an Associate and involved in other activities. While not a required input, we ask so that we have a better sense of our member interests and activities.This field can be seen by: EveryoneChangeWho can see this field?EveryoneOnly MeAll MembersMy FriendsCloseVolunteerVolunteers are the backbone of FDAAA and the foundation of the organization’s success. Volunteer by filling the blank below with the name of a specific committee. Or, alternatively, suggest a task you’d like to do, e.g. photographer Specific committee(s) This field can be seen by: Only Me Other Interests? This field can be seen by: Only MeAnnual Dues (check appropriate category). Dues may be paid by check or paypal If paying by check, include notes here Please e-mail MemberServices@fdaaa.org for instructions as to where to send the check. You will receive a response with the address. Cash payments occur at FDAAA sponsored events and you will be provided a receipt.This field can be seen by: Only MeAnnual DuesAlumni Member - $35 / 1 YearAlumni Member (2 Years) - $65 / 2 YearsAlumni Member (3 Years) - $90 / 3 YearsAssociate Member - $20 / 1 YearAssociate Member (2 Years) - $35 / 2 YearsAssociate Member (3 Years) - $50 / 3 YearsLifetime Member - $300Lifetime Associate - $300Select a Payment MethodIf paying by check, please select Offline / Pay by Check. Send an email to email@example.com for instructions on where to mail the check.Offline / Pay by CheckPayPalNo payment methods are available for the selected subscription plan.This field can be seen by: Only Me New Password* Repeat New Password* Send my username and password to me via email.