Clone of Clone of CASAC | CASAC-T Registration Form

Monthly Rate: $225 per month

Annual Discount: 10% off yearly payment ($2,025 first year, plus 2 free months).

Membership Benefits:

Includes one free job posting on the NYS-CASAC Job Board each month.
Access to exclusive recruitment tools, program promotion, and partnership listings.

Discounted rates on additional job postings and featured placement options.
Invitations to participate in statewide forums on workforce development and addiction treatment policy.

This membership is ideal for agencies committed to hiring, developing, and retaining qualified CASAC professionals who are changing lives every day.

Full Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

E-mail

example@example.com

By signing below, I acknowledge and agree to the following:

I have read and agree to abide by the Code of Ethics of the NYS Association of CASAC Professionals, including standards based on the OASAS Canon of Ethical Principles.

I understand that my membership may be suspended or revoked if I violate these principles.

I consent to receive association communications by email.

I understand that membership dues are non-refundable unless canceled within 10 days of payment.

I agree to resolve any disputes in accordance with the Association’s Operating Agreement's conflict resolution policy.

Signature

Substance Use Treatment Programs

$225.00 / monthFirst 60 days free. Then the card on file will be billed $225.00/month

Free for the first 60 Days then, $225.00 for each month

2025.00 Annual Yearly Membership (10% off) First 60 days free then your card will be billed automatically

Free for the first 60 Days then, $2,025.00 for each year

Email

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Credit Card Number	Security Code
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