Self Serve Portal

ASHT takes our data responsibilities very seriously and we want you to have confidence in how we handle your personal data. The data provided will only be used by ASHT to conduct the necessary business of the association in serving you. Your contact information is being collected for the purpose of being able to communicate with you. Other data collected is being used to help customize your experience within our organization. By joining/renewing ASHT, you are agreeing under the ASHT privacy statement that ASHT can use your personal information for the purpose of servicing your membership.

All fields marked by a red asterisk * are required

Prefix
First Name*
Middle Name
Last Name*
Suffix
Credentials
Company
Title
Address Type*
Address 1*
Address 2
Address 3
City*
State/Province
Zip Code*
Country*

Email Address*

Phone Type*
Phone*
Login Name*
Password*
Repeat Password*