Join ASSRT

ASSRT Membership

Welcome! Please fill out the form below. After submitting your membership form, you’ll be presented with information on how to pay for your membership. Payment can be made by check or through PayPal. If you have any questions, please contact us.

Personal Information

Contact Information


Phone
Email
Fax

Credentials


Radiology
Radiation Therapy
Nuclear Medicine
Mammography
Computed Tomography
Magnetic Resonance
Cardiovascular - Interventional
Quality Management
Bone Densitometry
Sonography
Vascular Sonography

RDMS
CMD
CNMT
CDT
Arizona CDT
Other

Student Members

If you're a student, please fill out the information below. If not, please skip.

Membership

Payment can be made on the next page.


If you have any questions, please contact us.