Membership Application Form

Membership Application

State of Texas Chapter of the Health Physics Society
Our membership rates are good for a calendar year and are required to be paid by the first of March to have voting privileges. If dues are paid after this date, the member will be considered in good standing but will not have voting privileges.

This Registration Period for calendar year 2025 is from 12/31/2024 through 11/15/2025.
Student: $10

Benefits include:
- Access to HPS National Conference travel grants and scholarships
- job postings
- Notice of conferences
- Opportunities to present research at the student conference for prize money
- and more
Professional $20

Benefits include:
- Job postings
- Discounted Conference registration fees
- Notice of conferences
- Invite to STC HPS Breakfast at HPS National
- and more
Affiliate: $200

Benefits include:
- Sponsorship opportunities at STC conferences to be more prominently featured
- Logo displayed on all STC HPS conference agendas
- Free booth and single free conference registration for the fall professional conference
- Access to conference attendee lists
- and more
Name*

First NameLast Name
Address

Street Address

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CityState / Province

Postal / Zip Code
Email*
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Phone Number
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School/Business/Organization
Payment by credit card or PayPal
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Student Registration
$10.00



Professional Registration
$20.00



Affiliate Registration
$200.00



Total

$0.00

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

Membership Application