Lafayette
District Dietetic Association (LDDA)
Membership
Application for 2008-2009
Instructions:
1. Complete membership application.
2. Make check payable to LDDA.
3. Please mail application and dues to:
Kate Rountree
748 Hummingbird Lane
New Iberia , La 70560
Email: Katherine.rountree@hcahealthcare.com
Personal Data:
Please fill in the information below completely
and clearly as it will be used to compile
our Membership Directory.