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Membership Registration: Enrollment & Payment Form

Fill out this form by marking the appropriate boxes based on your choice of meetings, workshops, or membership. Payment may be made by check or credit card and forwarded by any of the following methods: FAX: 212-362-7102 MAIL: ASTDNY, PMB 347, 459 Columbus Avenue, New York, NY 10024; Phone: 212-982-7371. Those individuals registering through the website will be sent an invoice.

ENTER YOUR INFORMATION* Please fill-in ALL REQUIRED information.

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First Name*
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Last Name*
Company Name*
Email*
Telephone*
Fax
Address*
Address 2
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State/Province*
Zip*
Country*
* Indicates required field. ** When 3 persons of the same firm enroll together. *** With a copy of student ID.

NOTE: You will not receive a confirmation of your submission when you press SUBMIT. We plan on updating this feature shortly, so please be patient. In the meantime, you will be contacted by our administrator to complete your membership enrollment. Thank you for your understanding.
 
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