Individual Membership Application

Important: If you are an employee of an Institutional Member, do not use this form. Please create an account here.

Individual memberships renew automatically. If you would like to opt out of automatic renwal, please email [email protected] after creating your membership.

Welcome to SID-United States!

If you have a discount code, enter it here

Membership *

Regular - $ 90.00

Retired - $ 75.00

Veteran - $ 75.00

Young Professional - $ 50.00

Full-Time Student - $ 35.00

Please renew my membership automatically.

Additional Donation $

Total Amount

Account

Please enter a Username to create an account. If you already have an account please login before completing this form.

Username *

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Punctuation is not allowed in a Username with the exception of periods, hyphens and underscores.

Profile Information - Individual Member Application

Salutation

First Name *

Last Name *

Middle Name

Address 1

Address 2

City

State

Zip Code *

Country *

Business Phone

Mobile Phone:

Email Address *

Position

Organization/Affiliation