Clone of CASAC | CASAC-T Registration Form

Education Providers | Colleges | University Membership
Monthly Rate: $180 per month (2 months free)

Annual Discount: 10% off the yearly payment ($1,620 for the first year + 2 months free).

Membership Benefits:

Listing in the NYS-CASAC Education Provider Directory for statewide visibility.
Access to partnership opportunities for joint trainings, webinars, and conference events.

Networking with CASAC professionals and program directors to build your institution’s presence in the behavioral health community.

Eligibility for highlight placements on our website and event calendar to showcase your training programs.

By joining as an education provider, you align your organization with New York’s only professional association dedicated to the CASAC credential and workforce excellence.
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.
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My Products

Month to Month MembershipFirst 60 days free. Then the card on file will be billed $180/month

Free for the first 60 Days then, $180.00 for each month

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

Free for the first 60 Days then, $1,620.00 for each year

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Education Providers | Colleges | University Membership