New Member Enrollment Form Membership Requirements*In order to join Collaborative Divorce Austin, there are three requirements listed below. Please check each item confirm you meet these requirements. I am a current member of Collaborative Divorce Texas. I have attended a formal collaborative training. I understand that the membership dues are $200 annually. How did you find out about Collaborative Divorce Austin?Name* First Last Suffix Profession*In what professional capacity will you be joining CDA? Attorney Mental Health Professional Financial Professional Other Explanation of ProfessionIf you selected "Other" in the above question, please provide more details.License*Do you currently hold an active license in as an attorney, mental health professional or financial professional?YesNoBusiness Name (if applicable)Business Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Office PhoneMobile Phone*This will only be used by the membership committee to contact you if necessary.Email* Do you want to be listed on the CDA website?YesNoWould you like your photo added to the CDA website?Please note that if you would like to be part of the group photo on the website, you will need to have your photo taken by our group photographer Korey Howell ($299) or her assistant ($199) (Ask for this special CDA rate which saves you $100 with the code CDA 2018). You can schedule on her website koreyhowellphotography.com. This will allow you to be part of our group photo on our website and you will also have two individual poses to use for your own website or professional needs.YesNoPhoneThis field is for validation purposes and should be left unchanged.