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June 4 Zoom Link

affiliate Join

Central Virginia ASHI

Affiliate Application Form

Are you sure you want to Join? If your have already joined, and your intent is to register for an event/session/class, please login first, then visit the Calendar, and signup there. Otherwise, here are the steps:

Step 1. Fill out the form below to create an account.
Step 2. After you successfully create an account, you will then need to login to complete and maintain your Profile, and pay any applicable dues or fees to complete the application process.
For a frustration-free experience, complete all required fields below.

We welcome representatives of other professions to be in relationship with us:

  • Engineers
  • Architects
  • Plumbers
  • Electricians
  • HVAC
  • Roofers
  • Well and Septic
  • Lawyers
  • Trainers
  • Vendors (tools, software, books, etc.)
  • Radon equipment manufacturers
  • Environmental laboratories
  • Insurance Agents
  • Etc.
What you get:
  • Website listing (affiliates directory)
    • Unlimited space (single page)
    • Fully functional WYSIWYG editor
      • We reserve right to edit for appropriateness
        • Language
        • Disparaging competitors
        • Disparaging other professionals
        • etc.
  • Presence at annual seminars
    • Table - we will setup if you are not available
      • Brochures (supplied by you)
      • Retractable banner (supplied by you)
    • 2-minute presentation to seminar attendees (remote or in-person)
  • Presence at quarterly in-person chapter meetings
    • Retractable banner - we will setup if you are not available
  • Presence at monthly online chapter meetings
    • One 4-minute presentation per year
What you pay:
  • $200 per year
    • Subject to change annually
Email Address
Cell Number
By default, you are opted out to our SMS text messages. You can opt-in later via [My Text Preferences]. Not required, but recommended because we use this feature to deliver important information. You can, at any time, opt out.
State / Province
First Name
Last Name
Username
Only letters (lower and upper case), numbers, underscores allowed! Username must be 5 and 20 characters in length.
Password
Password must contain at least one lower case letter, one upper case letter, one number, and at least one special character! Password must be between 10 and 20 characters in length.