New Member Signup/Membership Renewal

You can become a new member or renew your membership by completing the form below.

Name *

First

Last

Email *

Phone *

Office Phone *

Fax Phone # *

Website / URL

Business Address *

Address Line 1

Address Line 2

City

State

Zip Code

Member of Other Dental Associations

Dental School and Degree (DDS, DMD, BDS, ect)

Membership Types *

Full Membership - $75
Student Membership - $15

Comment or Message *

PayPal Commerce *

Card Number

Expiration Date

Security Code

Card Holder Name

Website

Doctor Members

The International Association for Orthodontics (IAO) has two membership rates for doctors depending upon the location of your practice. Annual membership is US$332.00 for developed countries.
Annual membership is US$250.00 for developing countries.

Dental Student Members

A dental student is defined as someone currently enrolled in a dental program.
The annual membership rate for dental students is US $27.50.*

Auxiliary/Staff Members

Auxiliary/staff members are defined as hygienists, assistants and other staff working in a dental office.
The annual membership rate is for auxiliary/staff members is US $55.00.*

Vendor Members

A vendor is defined as a professional associated with the field of dentistry, but who is not a doctor, auxiliary/staff member, or dental student.
The annual membership rate for vendor members US $110.00.*