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New or Renewal Membership
Enter your information to join or renew your membership!
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Contact Information
Name
(Required)
First Name
Preferred Name
Last Name
Suffix
Primary Email
(Required)
Secondary Email
Membership Information
Membership Type
(Required)
New
Renewal
Membership Category
(Required)
Please Select
Active Member (for current ASRT members)
Associate Member (non-ASRT)
Student Member - Active
Student Member - Associate
New Graduate Discount
Inactive & ASRT
Inactive
Membership Length (Active Member)
(Required)
One Year
Two Years
You must be an ASRT member for the Active Membership.
Membership Length (Associate Member)
(Required)
One Year
Two Years
For non-ASRT members.
Membership Length (Student Member - Active)
(Required)
One Year
Two Years
You must be enrolled in a Radiography program and an ASRT member.
Membership Length (Student Member - Associate)
(Required)
One Year
Two Years
You must be enrolled in a Radiography program, but not an ASRT member.
New Graduate Discount
(Required)
One Year
You must be a new graduate of a Radiography program. This rate is non-renewing.
Inactive & ASRT
(Required)
One Year
Retired from the profession and an active ASRT member.
Inactive
(Required)
One Year
Retired from the profession and not an ASRT member.
Total
Certification Information
Credentials
ASRT Member Number
ARRT Certificate Number
Graduation Information
RT Program
Select Program
Unknown
Ascension All Saints Hospital (Racine, WI)
Aurora St. Luke's Medical Center (Milwaukee, WI)
Bellin College (Green Bay, WI)
Blackhawk Technical College (Janesville, WI)
Chippewa Valley Technical College (Eau Claire, WI)
Froedtert Memorial Lutheran Hospital (Milwaukee, WI)
Lakeshore Technical College (Cleveland, WI)
Madison Area Technical College (Madison, WI)
Marian University (Fond Du Lac, WI)
Milwaukee Area Technical College (Milwaukee, WI)
Moraine Park Technical College (Fond Du Lac, WI)
Northcentral Technical College (Wausau, WI)
Northeast Wisconsin Technical College (Green Bay, WI)
ThedaCare Regional Medical Center (Neenah, WI)
University of Wisconsin - LaCrosse (LaCrosse, WI)
UW Health University Hospital (Madison, WI)
Western Technical College (La Crosse, WI)
Other
If Other:
Graduation Month & Year
Highest Degree
Select Degree
Associate of Arts (A.A.)
Associate of Science (A.S)
Associate of Applied Science (AAS)
Bachelor of Arts (B.A.)
Bachelor of Science (B.S.)
Bachelor of Applied Science (BAS)
Master of Arts (M.A.)
Master of Science (M.S.)
Doctor of Philosophy (Ph.D.)
Total
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