Membership
American Society of Hand Therapists - California Chapter

Membership Requirement
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Members
Editors Notes

Please read the Membership requirement and follow the proper mailing procedure for the membership dues.

Please make checks payable to ASHT California Chapter

Name: 
Title: 
Company:
Address:   
City/State/Zip:
Phone work:
Home:
Cell: 
Fax:
Email: 

I am an (please check appropriate box): 

Active member of ASHT, ASHT ID  Associate    Affiliate

Past ASHT-Ca chapter Member 2008

Not an ASHT (national) member

After filling the form click submit, print it out and fax it to 

the membership coordinator Jeanne Harper, OTR, CHT,at (928) 437-7590

and then mail the form and check to Elizabeth Alexandro, Treasurer at 
2530 A Piedmont Ave, Berkeley, CA, 94704

 it with your $25 check to the Treasurer if you are an ASHT member and $45 if you do not belong to ASHT.

This is in addition to dues paid to the ASHT.

If you have any questions regarding you membership contact the membership incharge Jeanne Harper at membership@asht-ca.org

 l

2009 Membership dues
Name & ASHT ID

 

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