Foundation Membership If you are having trouble viewing the form below click here. For those of you joining the IOCDF as a Foundation Member for the first time — welcome, we're so glad to have you join our community! For those of you renewing your membership, thank you for your continued support.For a full list of the IOCDF Foundation Membership benefits, click here.Foundation Membership includes either a hardcopy print (mailed via USPS) or digital (link sent via email) subscription to the quarterly OCD Newsletter (along with access to the online OCD Newsletter Archive). Are you joining as a new member or is this a renewal?New MemberRenewal Would you like to set up auto-renew and have this membership charge recur yearly?YesNo Would you like to receive a print or digital version of the OCD Newsletter?PrintDigital SalutationPlease select... Dr. Mr. Mrs. Ms. Prof. Mx. First Name MI Last Name Degree(s) Street Address CountryPlease select... Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos ( Keeling ) Islands Colombia Comoros Congo Cook Islands Costa Rica Côte d ' Ivoire Croatia ( Hrvatska ) Cuba Cyprus Czech Republic Congo ( DRC ) Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands ( Islas Malvinas ) Faroe Islands Fiji Islands Finland France French Guiana French Polynesia French Southern and Antarctic Lands Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong SAR Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao SAR Macedonia, Former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Samoa San Marino São Tomé and Prìncipe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands Spain Sri Lanka St. Helena St. Kitts and Nevis St. Lucia St. Pierre and Miquelon St. Vincent and the Grenadines Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Viet Nam Virgin Islands ( British ) Virgin Islands Wallis and Futuna Yemen Zambia Zimbabwe City StatePlease select... AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY ProvincePlease select... AB BC MB NB NL NS NT NU ON PE QC SK YT State/Province Zip/Postal Code Email Address Email Address TypePersonalWork Email Phone Number Birthdate (optional) Demographic Information Your response to these questions will help the IOCDF in the creation of future program opportunities as well as provide more specific demographic information about our diverse OCD community. How would you describe your race/ethnicity?African-American or BlackAmerican Indian, Alaska Native, or First NationsArab or Middle EasternAsian or Asian-AmericanHispanic or Latino/aMultiracial or BiracialNative Hawaiian or Pacific IslanderWhite, Caucasian, or European AmericanOtherPrefer not to Answer How would you best describe yourself?Individual with OCD or related disorderParent/GuardianSiblingOther relativeSpouse/partnerFriend/SupporterMental health professionalResearcherStudent/traineeOtherPrefer not to answer Additional Donation At the IOCDF, we are committed to keeping membership dues affordable, making membership available to those who need our help the most. We rely heavily on the generosity of our donors to fund the many programs and research projects provided by the Foundation. If you find yourself in a position to make a charitable contribution beyond your membership renewal, we respectfully ask that you consider making a gift to the IOCDF. I would like to make an additional donation to the Annual Fund Yes! I would like to make an additional donation to the IOCDF Annual Fund Amount of donation (USD): Is your billing address different than your mailing address?YesNo Billing Address First Name Last Name Address Line 1 Address Line 2 City State/Province Zip/Postal Code Country Payment Information Name on Card Card Number MM YY Code Your card will be charged: $ Please check box below:I authorize the International OCD Foundation (charge will appear as from "IOCDF" on my credit card statement) to charge the above amount to my credit card. By purchasing a Foundation Membership, I am opting in to receive emails from the IOCDF including, but not limited to, upcoming events, new programming, and support opportunities. I understand that as a Foundation Member with the IOCDF I will receive postcards in the mail alerting me to programming such as the Annual OCD Conference and 1 Million Steps 4 OCD Walk. If I do not wish to receive mailers, or wish to receive privacy enclosed mail only, I must email membership@iocdf.org and request as such. reCAPTCHA helps prevent automated form spam. The submit button will be disabled until you complete the CAPTCHA. Contact Information
