Welcome to the CAHSAH online Affiliate application. Affiliate, and Associate dues are $750 per year. The next several pages will allow you to apply for CAHSAH benefits and either pay online with a credit card or check by mail. If you choose to pay by check, this process will create an invoice which can be included with your check. If you choose to pay by credit card, you will be directed to a secure credit card page which will ask for your credit card information. Fields marked with an * are required fields. Thank you very much for using this system.
Yes, we want to receive information via email only
Please enter your credit card billing information below. If your billing address is different than your company mailing address please make changes below. You will not be asked for the credit card number or expiration date until you have gone to the secure payment site.
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Conditions of Participation
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