Educating and empowering members to provide healthy meals to foster
     an environment where children achieve overall wellness and lifelong success.
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Regular Membership Application

Regular Membership Application


Please provide the following contact information:
First NameLast Name
Title
District/School
Work Address
Work CityWork State
Work ZipCode
Work PhoneWork Ext.
Work FAX
Email
Home Address
Home CityHome State
Home ZipCodeHm Phone

Referred By:
Preferred Mailing Address:
Do not include my home information in the membership directory
Do not include any information of my in the membership directory
Do not include my email in the membership directory
Employer pays dues
Employed by:
Public School System
Private School System
Private management company

Subscription Categories Includes CSNA and Local Chapter Dues.  SNA dues is paid directly to SNA.  Click here for fees.  You will be given the link to join SNA as well, once you complete your CSNA and Local Chapter application.
(Please choose one)
Foodservice Employee $12
Foodservice Manager $15
Student $12
Retired $12
Foodservice Director/Supervisor $55*
   District Major City State Agency
Foodservice Educator $55*
Other (principals, etc.) $55*

Chapter ***
I would like to join an additional local chapter $5  
I would like to join an additional supervisory chapter $25   ***
    *Dues Allow you to join one supervisory chapter in place of a local regular chapter. You may choose Chapter 1, 2, 10, 20, 45
    ***$25 for Supervisory chapters 01, 02, 10, 20 or 45


Voluntary California Child Nutrition Foundation Contribution $

Total 
Payment Type: Credit Card Type:
Credit Card Holder's Name:
Credit Card #:
Credit Card Expiration Date:  
CC V-Code:
CC Street Address:
CC Zip:

Comments:

If paying by check, please send payments to:
CSNA
PO Box 11376
Burbank,  CA 91510

(We cannot process purchase orders, please make sure if paying by check the form is accompanied by the check.)

Upcoming CSNA Events

November 7-10, 2019
67th Annual Conference
Ontario, CA
January 26-28, 2020
Legislative Action Conference
 
May 3-5, 2020
Child Nutrition & Industry Summit
Marriott Marquis San Diego Marina, CA
California School Nutrition Association
PO Box 11376, Burbank, California 91510
Phone: (818) 842-3040 | Fax: (818) 843-7423
Child Nutrition and Industry Summit Sponsors:
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