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MEMBERSHIP PORTAL
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Memberships
General Membership Application
Business Membership Application
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CONTACT US
info@scedainc.org
General Membership Application
Home
General Membership Application
GENERAL MEMBERSHIP APPLICATION
Step
1
of
4
25%
Select either the Annual Membership for $35 or Life Membership for $300, check the subtotal, and click 'Next' to proceed. Follow the on-screen prompts through the 3-step process, fill out all necessary information, and submit your application with payment details ready.
Annual Membership Options
(Required)
Individual - Annual Membership $35
Student - $15.00 (age 13+ thru College Grad level; parental consent required thru age 18)
Individual - Life Membership $300
Annual Dues
Subtotal
$0.00
Enter your first and last name in the designated fields and provide your email address. After entering the information, click 'Next' to proceed to the final step of the application. If you need to review or change details from the previous step, use the 'Previous' button.
Name
(Required)
First
Last
Salution
(Required)
Mr.
Ms.
Mrs.
Dr.
Email
(Required)
Mobile Phone
Home Phone
Application Status
I am applying for new membership.
I am renewing my membership.
Referred By
Student Information
Enter the student information in the designated fields provided. After entering the information, click 'Next' to proceed to the final step of the application. If you need to review or change details from the previous step, use the 'Previous' button.
Name
(Required)
First
Last
School/Location
Parental Consent
(Required)
Name of the consenting adult.
First
Last
Relationship
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Mobile Phone
Home Phone
Consent
(Required)
I hereby consent to my child’s membership and participation in SCEDA/SCIED meetings and activities.
Signature
(Required)
Complete your billing information by entering your street address, city, state/province/region, and ZIP/postal code. Then, choose your payment method and provide your card number, expiration date, and cardholder name. Ensure all details are correct and click 'Submit' to finalize your membership application.
Billing Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Total
Payment Method
Credit Card
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number
Expiration Date
Security Code
Cardholder Name
Please check the box below to proceed
Comments
This field is for validation purposes and should be left unchanged.