CSHEMA Institutional Membership Signup

Ready to join the CSHEMA community? That's great!

Please complete the information below and we will contact you within one business day with an invoice and arrange for payment.

Membership Period: 1 Year starting from 1st July of current year to 30th June of next year.

New Membership Signup

If you have a discount code, enter it here

EHS Staff Members Rates *

Institutional Membership 1-3 - $ 275.00

Institutional Membership 4-10 - $ 475.00

Institutional Membership 11-25 - $ 620.00

Institutional Membership 26-40 - $ 800.00

Institutional Membership 41+ - $ 1,000.00

Introductory Membership - $ 0.00: Must not have been a CSHEMA member in the last 5 years (since 2018)

Total Amount

Email Address *

On Behalf Of Organization

Institution Name *

Main Contact First Name *

Main Contact Last Name *

Main Contact Email *

Main Contact Job Title *

Street Address *

City *

State / Province / Region *

Postal / Zip Code *

Country *

Institution Phone *

Institution Email *

Credit Card

Card Type

Card Number *

Security Code *

Expiration Date *

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *

Voting Members

Anyone at your institution can take advantage of member benefits, but three individuals should be designated as voting members for board elections and other governance matters. The main institutional contact can change these voting members at any time.

Voting Member #1 Contact Details

Voting Member #1 First Name *

Voting Member #1 Contact Last Name *

Voting Member #1 Contact Title

Voting Member #1 Contact Email *

Voting Member #1 Contact Phone Number

Voting Member #2 Contact Details

Voting Member #2 First Name

Voting Member #2 Last Name

Voting Member #2 Title

Voting Member #2 Contact Email

Voting Member #2 Phone Number

Voting Member #3 Contact Details

Voting Member #3 First Name

Voting Member #3 Last Name

Voting Member #3 Title

Voting Member #3 Contact Email

Voting Member #3 Phone Number