New Member Registratioin

Your Information

Instructions: Use this form to register an individual as a member of NYSASN.  If you are registering a business or an organization as a business member, click on "Organization User" and complete the organization membership form.

- Type (Home, Office, Mobile): Type (Home, Office, Mobile):

Account Login and Password

To manage your account (i.e., view and print dues history, renew membership, update your profile information, etc.), please create a login name and password below. Your password must be at least eight characters long, and contain at least one number.

Your School Information

Your Professional Information

After submitting this form you will have the option to complete your transaction online with a credit card payment (preferred). If you are paying with a purchase order or check please enter the PO or check number and the name and contact information of the person to be invoiced for your payment.

Payment Type and Deferred Payment Information

NOTE: After you have completed and submitted this form, you must select your payment type on the next screen. If paying by credit card, select CREDIT CARD. If paying by check or purchase order, select PAY LATER and follow the instructions provided. Your membership becomes active once payment is received.