Tennessee Association of Alcohol, Drug & other Addiction Services
1800 Church Street Suite 100
Nashville, TN 37203
Phone: 615-780-5901 mail@taadas.org

TAADAS Membership Application

TAADAS Mission Statement:

To provide a collaborative Tennessee voice for addiction, co-occurring, prevention and recovery support services to effect positive change.
Membership Categories: Membership shall be open to individuals or entities with an interest in addiction, co-occurring, prevention, or recovery support services and subject to payment of membership dues. TAADAS membership is not automatic board membership as the board consists only of the board of directors.
Organizational Member – Agencies or entities with an interest in addiction, co-occurring, prevention, or recovery support services and subject to payment of membership dues.
Individual Member – Individuals with an interest in addiction, co-occurring, prevention, or recovery support services and subject to payment of membership dues.

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Please Fill Out the Application Below To Become A TAADAS Member

Referring Member

Membership Category	Minimum Annual Dues Amount	Min Dues Pledge  July 1 – Sept 30	Min Dues Pledge  Oct 1 – Dec 31	Min Dues Pledge Jan 1 – March 31	Min Dues Pledge April 1 – June 30	Please mark membership level X
Organizational
Revenues > $100,000.00	100.00	100.00	75.00	50.00	25.00
Revenues > 100,000.00 but < 500,000.00	250.00	250.00	187.50	125.00	62.50
Revenues > 500,000.00 but <1,000,000.00	500.00	500.00	375.00	250.00	125.00
Revenues > 1,000,000.00 but < 2,000,000.00	750.00	750.00	562.50	375.00	187.50
Revenues > 2,000,000.00	1000.00	1000.00	750.00	500.00	250.00
Membership Category	Minimum Annual Dues Amount	Min Dues Pledge  July 1 – Sept 30	Min Dues Pledge  Oct 1 – Dec 31	Min Dues Pledge Jan 1 – March 31	Min Dues Pledge April 1 – June 30	Can pledge more
Individual	$100	$100	$75.00	$50.00	$25.00

Organizational Members - Find the revenue category you fit into and check the check box. Look at the date for your pro rated fee - add any additional voluntary contribution
Total Dues

Individual members - find the current date for your dues amount - Add any additional contribution
Total Dues

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Name:    


Agency:    

Street Address:    

City:     State:     Zip:    

Phone:    

Cell:    

Email:    

Agency Website:    

Referring Member  

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Thank you for your interest in TAADAS membership. Someone will contact you for your payment information.