Organizational Membership Request Form

Organizational Membership Request Form

Ensure your whole team is receiving ASHHRA membership benefits. Discounted dues are available for organizations joining (or renewing) with five or more members:

5 to 10 members: 10%
11 to 20 members: 20%
21 to 30 members: 25%

Valid for ASHHRA Practitioner and Affiliate memberships only. Not applicable to and cannot be combined with Joint ASHHRA/SHRM, Retired or Academic memberships.

Questions? Contact ASHHRA: ASHHRA@ashhra.org | 312-422-3720

INSTRUCTIONS

First, each person in the group must create an account at Connected.ASHHRA.org.
Second, the primary contact for group ("Admin") completes this request form and lists the full names of everyone included in the Organizational Membership.
Finally, ASHHRA will process memberships and notify Admin to process payment when ready.

Invoice Request

The person completing this form will be designated as the administrator ("Admin") for the group, responsible for ensuring payment of the invoice and managing the members related to the organization.

First Name (Group Admin)*

Last Name (Group Admin)*

Email (Group Admin)*

Phone (Group Admin)*

Title (Group Admin)

Organization*

Billing Address*

City*

State

Zip

Payment Method*

Please select your payment method.

Select

Members*

Include first and last name of each person to be included in Organizational Membership.

Agree to terms by checking box below.*

I understand payment must be received by ASHHRA in full before memberships are activated.

Send me a copy of my responses

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