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FREE ASHA CONVENTION DRAWING (SCSHA)
Please complete this form to be entered into a drawing for free convention registration?
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Email
*
Your email
FIRST AND LAST NAME
Your answer
ARE YOU 30 OR YOUNGER OR WITHIN FIRST FIVE YEARS OF YOUR CAREER AS AN SLP/SLPA?
Yes
No
Clear selection
HAVE YOU ATTENDED ASHA NATIONAL CONVENTION BEFORE AS A PROFESSIONAL MEMBER?
(ATTENDANCE AS A STUDENT DOES NOT COUNT AGAINST YOU)
YES
NO
Clear selection
ARE YOU A CURRENT ASHA MEMBER?
Yes
No
Clear selection
ASHA MEMBERSHIP NUMBER
Your answer
ARE YOU A CURRENT SCSHA MEMBER?
Yes
No
Not yet, but I am READY to join!
Clear selection
I understand that if I win the FREE convetion registration from SCSHA, I would be responsible for lodging and travel accomadations?
YES
Clear selection
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