Get Adpac Student Membership Form

The ADPAC Student Membership Form is essential for students interested in joining the American Dental Political Action Committee. This guide provides clear instructions to help you complete the form accurately and efficiently online.

Follow the steps to fill out the ADPAC Student Membership Form online

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the date in the designated section. Ensure you use the format MM/DD/YYYY.
3. Indicate the membership year by filling in the appropriate space with the year.
4. Provide your full name as it should appear on your membership records.
5. Enter the name of your dental school in the corresponding field.
6. Fill in your complete address including the street, city, state, and zip code.
7. Input your email address and phone number to ensure you can be contacted regarding your membership.
8. Select your membership type by checking the appropriate box. Choose from the available options and note any additional fees for spouse memberships.
9. If you are opting for a membership that includes a spouse, provide the spouse’s name.
10. Select your payment method by marking either cash, check, or credit card. If using a card, fill in the required card details including number, expiration date, and CVV.
11. Review all the entered information for accuracy before proceeding.
12. Save changes, and then download, print, or share the completed form as necessary.

Complete your ADPAC Student Membership Form online today!