Membership Application Form

Full Membership Form

* required field

To apply for membership in the Charles H. Tweed International Foundation, an applicant must have successfully completed the Tweed Study Course and show proof of membership, or eligibility for membership, in their country,s W.F.O. recognized orthodontic association. The annual dues payment is $100 for Regular/Fellow members.

SUBMIT THE FOLLOWING:

APPLICATION FOR MEMBERSHIP

DOCUMENTATION to show membership in your country,s W.F.O. recognized orthodontic association. Send by mail with this application to the address below or email a copy to [email protected]. If you are not a member, provide documentation to show that you are eligible for membership such as a student identification card. Tweed Study Course graduates have already provided this proof and do not need to submit it with this application.

NEW MEMBER DUES PAYMENT FOR ORTHODONTISTS: $100.00

Option 1:

Cash or check in U.S. funds payable and mailed to:
Charles H. Tweed International Foundation 2620 E. Broadway Blvd.
Tucson, AZ 85716

Option 2:

Credit card payment made online at www.tweedortho.com.

Applicant Information

Applicant Name *

Email Address *

Date Completed Tweed Course

Name of Orthodontic Graduate Training Program

Graduation Date

Home Address

Street * City * State * Postal Zip Code * Country * Home Phone Cell Phone

Practicing Orthodontist Business Address

Street * City * State * Postal Zip Code * Country * Business Phone Business FAX

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