2010 MEMBERSHIP APPLICATION
Full Payment Application

Different Forms of Membership

Download the Authorization Agreement for Direct Debit

2010 STUDENT MEMBERSHIP APPLICATION
Student Application

Send the printed application(s) & payment to:

American Dental Assistants Association

35 East Wacker Drive, Suite 1730, Chicago, IL 60601

* 312.541.1550 * Fax: 312.541.1496 * E-mail: adaahelp@aol.com

History and Service

The American Dental Assistants Association is the oldest, largest group representing professional Dental Assistants. Its members include clinical personnel, those working chairside with the dentist, in the administrative area; business assistant, receptionist, office manager, practice manager and those working behind the scenes in dental product sales, insurance and, of course, educators.

Established over 80 years ago, the ADAA provides continuing education to Dental Assistants through home study courses, professional journals and local, state and national meetings with educational agendas. The ADAA encourages education, registration and certification for Dental Assisting professionals while providing a network of personal services for its members. Services such as: credit cards, insurance programs, salary and other surveys and travel and leisure services.

In most areas, the state association and often a local organization serve the ADAA. A membership in the ADAA provides tripartite membership in national, state and local organizations. Those interested in a membership should print the applications listed above.

Statement of Commitment

To advance the careers of Dental Assistants and to promote the Dental Assisting profession in matters of education, legislation, credentialing and professional activities which enhance the delivery of quality dental health care to the public.

Direct Debit Information for Members of the American Dental Assistants Association.

To enjoy all the Benefits of Membership! The ADAA is pleased to offer automated debit of your dues directly from your personal checking account on a monthly, quarterly, bi-annual or annual basis. By completing the Authorization Agreement included on the Membership Application, along with all required forms, your payment will automatically be deducted.

Not only can you use this method, you have the option of other payment methods, including: Money Order, Check payable to ADAA, MASTERCARD or VISA.

Additional Application Instructions:

Please mark in the first section:

State Dental Assistants Association “ TDAA ” and

Local Dental Assistants Organization: “ ________________________ ” (location)

View this page for Your location in Texas: TDAA Local Organizations

Your State/Local Dues included in the Membership Application for Texas is $25.00.

Please mark all applicable areas and enter the Texas dues amount where designated.

ADAA - Frequently Asked Questions

For questions not answered in the above FAQ, please contact

ADAA: 312.541.1550 * Fax: 312.541.1496 * E-mail: adaahelp@aol.com

(TWSP2010)