Student Membership Registration

Fill out this from to register for your Student Membership!

Price:

$75 for access until January 15, 2027

First Name:* First Name Required

Last Name:* Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Please provide the email you would like displayed in the CAHN Member Directory:* Please provide the email you would like displayed in the CAHN Member Directory is Required

Phone Number:* Phone Number is Required

Are you a CNA member?:* Are you a CNA member? is Required

Referred By: Referred By is not valid

Do you participate in any other organizations that may result in a partnership with CAHN? : Do you participate in any other organizations that may result in a partnership with CAHN? is not valid

Please Upload Student Verification:* Please Upload Student Verification is Required

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

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Description	Amount
Student Membership – Payment	$75.00
Total	$75.00

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Student Membership Registration

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