Special Interest Group (SIG) Affiliation Form
2 Ways to Join
1. Call the Action Center
Join immediately by calling 1-800-498-2071 (8:30 a.m.–5:00 p.m. ET, Monday-Friday). Pay by credit card. (VISA, MasterCard, and Discover are accepted.)
2. Fill Out the Form Below
Fill out the online form below, and we'll call you to confirm payment information.
Your SIG affiliation begins upon receipt and processing of your payment and expires December 31, 2017. You must be an ASHA or NSSLHA member in good standing. If you have questions about joining, e-mail the Action Center at [email protected] or call 1-800-498-2071. If you have questions about the Special Interest Groups, e-mail [email protected].
* indicates required field.