Be a Member or Donor/Sponsor

Name(Required)
How Did You Hear About Us(Required)
Community Partner or Collaborator(Required)
Shipping Address
Price: $75.00
This is for 1-year new or renewal annual ASSISTNA membership fee plus a free autographed book.
Mode of Payment Options(Required)
International payments via PayPal online OR mailed in Money Order in US $ only.
By submitting your information, you are giving us consent to send you a reminder of our events and future events. You can request to be removed anytime. Thank you for your support!

 for PayPal / Credit Card payment option Click Here.

 
Skip to content