Member Application

Individual (1 Person): $450

Facility Membership (1-3 AZ ASCs): $750

Corporate Facility Membership (4+ AZ ASCs): $550

Platinum Partner: $5,000

Gold Partner: $3,000

* First

* Last

* Title

* Company

* Business Address

* City

* State

* Zip

* Phone

* Email

* Select your level of membership:

Corporate Facility Membership (4+ AZ ASCs)
Facility Membership (1-3 AZ ASCs)
Gold Partner
Individual Membership
Platinum Partner

Members Log In
Arizona Ambulatory Surgery Center Association ID:

Password:

	Forgot Username/Password?