New Hamshire Society of Radiologic Technologists

New Hampshire Society of Radiologic Technologists
The NHSRT membership year is from June 1st to May 31st. Yearly dues are $25.00. All renewing members and new applicants please complete this form and submit. Payment must be received with the application. Your membership certificate will be emailed to you. If you choose not to make a payment online you may make checks payable to NHSRT and send to:

Jonathan Havrda

NHSRT Membership Chair

5 Brook Road

Orford, NH 03777
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1 year Membership ($25.00) Student ($0.00) Bridge Membership ($0.00) (only applies to new graduates)
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Email Address *
Are you employed in Radiologic Technology? *

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Where are you employed?
Are you a member of the ASRT? *

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ASRT #
Are you a member of the ARRT? *

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ARRT #
*

I agree to abide by the constitution and the by-laws of the New Hampshire Society of Radiologic Technologists.
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Pay Pal Payment ***NOTE: You do not need a pay pal account to complete***

1 Year Membership $ 25.00

Student/Bridge Membership Free

Total $ 0.00
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New Hampshire Society of Radiologic Technologists