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Secure ASTA Upgrade Application
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After submitting the secure membership application below you will receive a confirmation page and receipt of your pending application. Your application will be processed immediately and your credit card will not be charged until your application is approved.

This page is for current and former ASTA student members upgrading to professional membership at a special one-year discount.  For all other new members and renewals, please visit the Join page.

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CONTACT INFO:
First Name:
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Last Name:
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Preferred Email:
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Preferred Email Type:
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Alternate Email: Invalid Input
Phone Number:
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Alternate Phone Number: Invalid Input     Invalid Input      format: xxx-xxx-xxxx
Mailing Address:
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Mailing Address Apt/Suite: Invalid Input
City:
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State:
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Zip Code:
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SCHOOL INFO:
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School State: Arkansas
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EDUCATION INFO:
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PAYMENT INFO:
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Credit Card Number:
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Card Expiration Date:
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OTHER INFO:
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