Member Application

About Minnesota Consultant Dietitians (MCD)

To become an active member of MCD, please complete this application, and we will invoice you for your membership payment.

Select Category Select Category Individual Member Student or Retiree

Name

Credentials (RDN / N/DTR / CDM / OTHER / N/A)

Mailing Address

Email Address

Mobile Number

Work Number

Employment Status

Employer / Business Name / Other

If a member of AND, note member number

If a member of ANFP, note member number

Use this space if needed

15 + 13 =