New Associate Membership

2024 Associate Membership/Organizational Membership

ASTDD is an affiliate of the Association of State and Territorial Health Officials.

Thank you for your interest in Associate Membership or Organizational Membership in ASTDD.

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To begin your application let's first take a moment to confirm your email address. This email address will be used as your username to login to Astdd.org. Please enter your preferred email address below and click "Confirm Email Address".

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Membership status

Your account is not presently associated with a membership level which requires membership renewal.

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You may now renew your 2024 ASTDD associate membership. To renew, please review your contact and billing information, update if necessary, and provide the required credit card information

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As an Organizational Member of ASTDD you are allotted up to four Associate Memberships for individuals within your organization. Additional Associate Memberships may be purchased for $75 up to 10. Please complete the contact information below for your organization as well as those individuals who you would like to make Associate Members.

Organizational Contact Information for the ASTDD Website Roster
Name - First, Last	*
Degree(s)
Title
Company/Agency Organization	*
Street	*
	*
City	*
State/Territory	*
Country	*
Zip	*
Phone	*
Fax
Associate Members	How many Associate Members would you like to register? {{i}}

Remove Associate Member {{i}}
{{member.associates[i-1].fname}} {{member.associates[i-1].lname}}
Name - First, Last	*
Degree(s)
Title
Company/Agency	*
Street	*
City	*
State/Territory	*
Country	*
Zip	*
Phone	*
Fax
Email	* This email is already assigned to a member in the database.

Billing Information
Select this box if your billing information is the same
Organization	*
Name - First, Last	*
Street	*
City	*
State/Territory	*
Country	*
Zip	*
Phone	*

Payment Information
Amount Due	{{ billing.amount \| currency:'$':2}}
Card Number	*
Expiration Date	/ *
Credit Card Code (CVV)	*Where is my CVV code?
Agreement*	I agree that I have read and comply with this website's Terms and Conditions

Annual Auto Membership Renewal
I would like to auto-renew my ASTDD Membership of {{ billing.amount \| currency:'$':2}} each year on October 1st.

* This information is required in order to complete an online transaction.

Confirm email address
Email	*