Membership Application

To apply for SNEB membership, please complete the form below if paying by credit card or download a form if paying by check. If you have any questions please contact the SNEB office at info@sneb.org, 317-328-4627 or 800-235-6690.

First Name

Last Name

Degree/Credential

Organization/Business/Employer

Address

Address - cont.

City

State

Zip/Postal Code

Country

Phone

User ID

Password

Membership Categories and Divisions

Membership Categories. First year dues are pro-rated based on the month your application is approved.The SNEB membership year begins February 1.

Choose Your Divisions

You may select up to 2 Free Divisions. Each Additional Division membership is $10 per year.

Communications

Food & Nutrition Extension Education

Healthy Aging Division

Higher Education

International Nutrition Education

Nutrition Education for Children

Nutrition Education with Industry

Public Health Nutrition

Sustainable Food Systems Network

Weight Realities

Total Price:

Education Experience

Accredited Institution - include city, state/province, country

Major, Year of Graduation, Degree

Related Experience in health, food, agriculture, education, communication or nutrition-related positions. (Include years.)

Membership in Related Organizations (Please spell out abbreviations)

Additional Details

I do not want a print copy of JNEB. I'll use web only access.

How Did You Hear About SNEB?

Colleague/Professor

Journal of Nutrition Education and Behavior

SNEB event - conference, webinar

Web search

Billing Information

Card Type

Card Owners Name

Card Number

CVV

Expiration Month

Expiration Year

Billing Address

Billing Address 2

Billing City

Billing State

Billing Zip

Billing Country

I understand that as a member I will be receiving information from SNEB by email and mail. I can withdraw this permission at any time by contact the SNEB office at info@sneb.org.