Florida Academy

of Nutrition and Dietetics

FAND Annual Symposium, July 15-18, 2017
Harbor Beach Marriott Resort - Ft. Lauderdale, FL

Fields marked with an asterisk ( * ) are required.

Nick Name (your first name as you wish it to appear on your name badge):
Email: (*) is not a valid e-mail address.
Last Name: (*) Please enter your last name. First: (*) Please enter your first name. Middle Initial: Credentials:
AND Member #: FL License #: Daytime Phone: (*) Please enter a phone number.
Place of Employment/School: Position/Title:
Employment Address: City: State: Zip: is not a ZIP Code.
Home Address: City: State: must contain only a-z,A-Z characters Zip: Please enter a valid ZIP code.


Early Bird Registration:
Accepted ONLY if submitted on or before May 31st, 2017.

Select either Full Meeting OR select particular days.

After July 1st you must register onsite.

AND Members
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Retired
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Student Member
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Student Non-Member*
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Guest*
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*Note to Students:

If you are not an Academy member you must furnish documentation on letterhead of student status in an ASCEND accredited program. Please fax it to us at 850-386-7918.

*Note about guests:

A guest cannot hold a degree in a nutrition-related field, i.e. can be family member or friend. Guests are welcome to attend the receptions and nutrition breaks, but due to limited seating they cannot attend the breakfast or lunch sessions.

Special Events - Saturday, July 15, 2017
(NOTE: Special Events have extra fees)

Ethics
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Medical Errors
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Preconvention Workshop
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I would like to add $5 or more for Scholarship:

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Other Events - Check to be Issued a Ticket for Admission

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Please Note: In order to receive a ticket for the Annual Member Empowerment Breakfast, you must call 850.386.8850 with your credit card information, which will be charged $25.00 ONLY if you do not attend the breakfast (Members Only).
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Registration Total: $0.00

When you click the Register button below you will be directed to PayPal to complete your purchase.

Florida Academy of Nutrition and Dietetics

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