NAAFA Membership Renewal
    National Association to Advance Fat Acceptance


    If paying by check or money order, please print out this form and mail it along with your renewal fee to:
      NAAFA
      P.O. Box 22510
      Oakland, CA
      USA 94609

    If paying by credit card, you may either submit this form online, or print it out and mail it to the address above. You can also charge your renewal fee by calling or faxing the NAAFA office at: (916) 558-6880

      * denotes required information
    *Your Name:
    Company:
    *Address:
    *City:
    *State or Province: *Country: *Zip:
    *Phone Number:
    Fax:
    E-Mail Address:
    *Choose 1 or more:

    Internet Membership Option (all official communications and newsletters via e-mail - must provide current valid email address above) - $25
    Regular membership (US) - $35
    Regular membership (outside North America) - $50
    Joint Membership - $15 (for persons residing at the same address)
    Auxiliary Membership - $5 (for members' children under 18 yrs - limit 2 per household)

    Student, Senior, or Limited Income ($5-$15)
    Dues: self-determined:

    Supporting Membership - $100
    Benefactor Membership - $250
    Philanthropist Membership - $500

    If Joint or Auxiliary, please give the name of current NAAFA member

    Credit Card Information
    *Name:
    (as it appears on credit card)
    *Billing Address:

    (if different from above)
    *City:
    *State or Province: *Country: *Zip:
    *Card Type: VISA Mastercard
    *Card Number:
    *Expiration Date:

    (If you are paying by check or money order, stop and print this form and mail to the address above. Please do not hit submit.)





    You will receive your membership card within 3 to 6 weeks. If you have a problem with this form, email us, or call the NAAFA National office at (916) 558-6880