ASAHP Membership

The membership dues quoted for this application are for Fiscal Year 2023-2024: July 1, 2023 - June 30, 2024. Institutional Member, Professional Member, and Affiliate Member dues can be prorated monthly.

ASAHP 2023-2024 Membership Application

Membership Types:

- Institutional Member: An Institution of Higher Education offering a degree or certificate in one or more of the Health Professions. Dues are $5,995.

- Professional Member: A Health Care Institution utilizing workers from health professions. Dues are $5,995.

- Affiliate Member: An organization, association, community college, or agency with an interest in the mission and purposes of the Association but do not meet the criteria for Institutional membership. Dues are $1,750.

Please select your membership type.

Institutional Member

Professional Member

Affiliate Member

Name

First Name

Last Name

Degree

Job Title

Institution/Organization

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number

(###)

###

####

What is your primary health specialty?

Executive Assistant Information

Executive Assistant Name (first, last) if applicable:

First Name

Last Name

Executive Assistant Email:

Executive Assistant Phone:

(###)

###

####

Communications/Marketing/Public Relations Information

Main Comms/Marketing/PR Name

First Name

Last Name

Payment Method

Once your application is received, our office will follow-up with an invoice and instructions on how to pay using credit card or check. Please include the invoice number with your payment method.

Credit Card

Check