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Inside the TSHA Site:

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Contact Us

Texas Speech-Language-Hearing Association
918 Congress Avenue, Suite 200
Austin, TX 78701-2422

Toll Free: 1-888-SAY-TSHA
Phone: 1-512-494-1127
Fax: 1-512-494-1129
 Inside the TSHA Site
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2011 Membership Renewal

If you are a current TSHA member, or have been a TSHA member in the past, use your TSHA member number and submit your membership renewal online. You may also print, complete, and mail in the renewal form.
Print Membership Renewal

With questions contact the TSHA State Office
918 Congress Avenue, Suite 200
Austin, TX 78701
888-SAY-TSHA
Email

TSHA is not the state regulatory agency. Do not use this site to apply for or renew your state license. TSHA membership runs on a calendar year. Member renewals received after September 1st will include the remainder of 2010 and all of 2011. Contact information will be published in the online directory; however, home address will not be included unless it is your mailing address. Please double check your email address to ensure you receive TSHA updates and important notices.

Information you enter here will be imported into the TSHA database. 
Please use proper upper and lower case.
* Required Fields
* Member #:      
Membership Period: 2011 Calendar Year     
       
* First Name:    
 * Last Name:    
Former:
Employer:
* Home Address (Required):    

Your home address is essential for identifying and contacting your federal and state legislator. 		* City:    
* State:    
 * Zip:    
* Home Phone:  
 Fax:
Cell:
 
* Mailing Address:    
 * City:    
* State:    
 * Zip:    
Work Phone:   Fax:
* Email:    
 Preferred Phone:
Texas License Number:
Highest Degree Attained:
(Bachelors, Masters, PhD, AuD)
TEA Certification, Provisional All Levels:
Specialty (SLP AUD OTH):
ASHA License Number:
Languages Spoken:

(other than English)
Professional Setting:

Public School, University, Non-University Hospital/Clinic, Private Practice, Community Agency, Other (Please Specify)
* Category:  

Please enter numeric values only...no dollar signs or letters

Dues Owed: $


Voluntary PAC Contribution: $






Voluntary TSHFoundation Contribution: $






*Total: $  
TSHA PAC - The purpose is to support candidates for State Legislature who have demonstrated support for health, education and disability issues that are beneficial to speech-language pathologists, audiologist and persons with disabilities and to provide TSHA members the opportunity to become more involved in the political process. TSHA will not look with favor or disfavor upon any member because of his/her level of contribution or decision not to make a contribution. TSHA PAC cannot accept corporate checks: however; corporate checks that are drawn on a TSHA member's independent practice and written to either "TSHA" or "TSHA PAC" will be kept by TSHA to defray TSHA PAC's administrative expenses. Contributions to the TSHA PAC are not deductible for federal income tax purposes. However, dues payments are deductible as an ordinary and necessary business expense. Under IRS rules IR-93-98 and notice 93-55, the government now requires exempt organizations to estimate the percentage of a member's dues utilized for lobbying purposes. It has been determined that 50% of your dues are not deductible as a business expense under IRS rules.
                       
* Please charge my:                
Please enter numbers only, no dashes or spaces.
* Card Number:
* Expires:
   
If the Name and/or Address listed on this application is different from the information that your credit card issuer has on file for billing purposes, the transaction will be rejected as a security measure. If the billing name and/or address is different from above, please enter the information below:
Name (exactly as it appears on credit card):

First:

Last:

Billing Address:
Billing City:
Billing State:
Billing Zip:

(Note: If the "Thank You" page is not displayed after clicking the "Submit Form" button, there is an error on the form. Scroll back through the form and find the error [error message is in red text]. Correct the error and click the "Submit Form" button again.)

      

PLEASE DO NOT PRESS THE SUBMIT BUTTON MORE THAN ONCE AS YOU MAY BE CHARGED EACH TIME.

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