Membership for Businesses and Organizations Membership for Businesses and Organizations What type of membership?* New ASNL Member Membership Renewal Name:* First Last Business/Organization Name:* Email Address:* City/Town:* 1. What category is your business/organization?* a. Clinical ( SLP, OT, etc.) b. Mental Health (Psychologist, Counselling, etc.) c. Health Services (Dentist, Doctor, etc.) d. Educational (Educator, Administrator, etc.) e. Employment Support f. Business g. Community Organization h. Other *Please describe in box below* If you answered "Other" in the box above please describe.