Online Membership Application Form

In case of technical difficulties with this registration page email the webmaster.
For all other questions go to the SESHA Web Site.

 Contact Data
*First Name
*Last Name
*Job Title
*Address 1
Address 2
*ZIP/Postal Code

 *Membership (Expires 2018-12-31): (Select Appropriate Category)
Associate Membership
Student Membership

 Chapter Membership
Please select your chapter(s) below:

New England
Rocky Mountain
Texas Hill Country
Pacific Northwest
N. California
N Texas
NY Capital Region
Twin Cities
Murray State

Employment Demographics: (choose one)

Job Function Demographics: (choose one)

Employment Level Demographics: (choose one)

 Mailing List
SESHA does occasionally make its snail mailing list available for a one-time rental. Rental of the mailing list is approved ONLY for items relevant to our profession. SESHA does not allow names and address information to be retained by the renter. If you do not wish to have your name included in the rental, please check the following box:

Please remove my name from the rental list


Check all fields carefully and use the button below to see a summary of your entry.