Membership Application & Dues

After your payment has been submitted, please forward a copy or image of your payment confirmation to chsasalh@gmail.com. This helps to ensure there are no delays with your national and local membership benefits. Be sure to fill out the below membership application as well.

Membership Application (Local & National)

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Thank you for submitting your ASALH membership form. To complete your membership please pay online here https://donate.xpress-pay.com/?pk=8683. Once payment is completed submit your receipt to Branch Treasurer, Dennis Muhammad at dennismuhammad@gmail.com

Full Name (First, Middle, Last)

Address (Street Address/PO Box, City, State, Zip Code)

Phone

Are you currently an ASALH Member?

If yes, provide your member ID, which is found in your My ASALH account.

Local Membership Category

National Membership Category *(To be a member of the branch you must join the national association.)*

Dual Member’s Name

Dual Member’s E-mail

Student Member or Institutional Member Affiliation

Insert Amount Due

I’ll pay my fees via the following method

Notes

Pay Membership Dues Here

Membership Application & Dues

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