Credentials/Registries *

Membership dues may be submitted by one of the following methods:

Electronically
- Complete the form to the right and click "Submit" at the bottom of the form.
- After you click "Submit", the form will disappear and scroll to the bottom of the page and click on the "Buy Now" button.
- This will take you to the secure PayPal site where you can pay for your membership with your PayPal account or by credit or debit card.
- ** NOTE: You must submit the following form AND pay for your membership through the secure website, PayPal, in order to complete the electronic membership application process.

By Mail
- Printable Application
- Please make checks payable to NvSRT
- Mail the form along with your payment to:

Reme Huttman

Great Basin College

1500 College Parkway

HSHS134

Elko, NV 89801

ARRT Number *

ASRT Number

New Member *

City *

State *

Zip Code *

Mailing Address *

If you would like to join ASRT, please visit:

Last Name *

Nevada Society of Radiologic Technologists

NvSRT MEMBERSHIP $30.00

Contact Phone Number *

Employer Name

Email Address *

First Name *

Our Current Dues:

Membership to the NvSRT is from June 1 to May 31.

$10 of the membership dues will go to your

Chapter affiliation.