AUTM New Member Application and Membership Renewal

If you are an existing AUTM Member and want to renew your membership, or if you are a non-member with a record in our database, click here to login.

Membership is for the calendar year January 1, 2015 through December 31, 2015. Dues are not prorated. Dues received after September 30, 2015 will be applied to the following calendar year.

Click on the ‘Next’ button to be guided through the membership application process.

Learn about membership benefits.

If you'd prefer to apply offline, download a PDF of the member application here.

This site uses Secure Sockets Layer (SSL) to protect your personal information, and Verisign to process your credit card. We accept Visa, MasterCard, and American Express.

MAILING / BILLING ADDRESS

* - Required Field
First Name *
Last Name *
A list of suggested organizations will display as you begin to type. To ensure you are correctly associated with your organization's member roster, please choose your organization from the list if it appears.
Institution, Company, or Affiliation
Credentials (PhD, MD, etc)
Job Title*
If currently a student, enter "Student"

Street Address 1 *
Limit: 40 characters
Street Address 2
Limit: 40 characters
City *
State / Province *
If not applicable, please leave blank
Zip / Postal Code *
If not applicable, please enter "00000"
Country *