New Customer Registration Form

Monthly Dues: $19.99 per month (includes 2 free months)

Annual Payment Discount: 15% off your total ($169.92 for the year).

Exclusive Member Benefits:

15 hours of free approved renewal training when you purchase your full 60-hour package through Educational Enhancement CASAC Online.
Full access to member-only resources, networking events, policy updates, and career support.
Discounts on statewide trainings and conferences hosted by NYS-CASAC.
Inclusion in the CASAC Professional Directory (optional) to increase visibility and credibility.
Membership provides both professional value and financial savings, designed by CASACs, for CASACs.

Join today and get your first two months free, risk-free.

Attention: To sign up for an Education Provider and Colleges membership, please click here.

For Substance Use Treatment Program Membership, please click here.

Full Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

E-mail

example@example.com

Credential:

CASACCASAC-TCASAC-PRetired CASAC

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.

Signature

My Products

Subscription NameFirst 60 days free. Then the card on file will be billed 19.99.

$19.99 for each month

Annual Yearly Membership (15% off)First 60 days free then your card will be billed automatically

$169.92 for each year

Email

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

CASAC & CASAC-T Registration Form