6 West Dry Creek Circle • Suite 200 • Littleton, CO 80120-8031

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$80**

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All dues are for one year. Dues are not refundable and membership is not transferable. A portion of your dues are allocated to the state assembly of

your choice. (For details on how to contact your state assembly visit www.ast.org). A subscription to The Surgical Technologist is included in the dues.

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AST • 6 West Dry Creek Circle • Suite 200 • Littleton, CO 80120

or fax to 303.694.9169

or submit this form directly to AST by clicking “SUBMIT”

••One who has passed the National Board of Surgical Technology and Surgical Assisting (NBSTSA) national certifying examination

in surgical technology and maintains certification as defined by the NBSTSA.

••Active members have voice and vote.

••Certified members will revert to associate status, if their certification currency expires or lapses.

••One who has passed the national certifying examination but has not maintained certification currency as defined by the

NBSTSA. A pre-1977 with lifetime certification who has not chosen to achieve currency with the NBSTSA by submitting CEs, etc,

or has allowed it to lapse.

••One who has proof of either having completed or being currently enrolled as a student in a CAAHEP accredited surgical

technology program or its equivalent. (For student discount see student application at www.ast.org.)

••Employed as a surgical technologist and not currently certified by the NBSTSA.

••One whose primary source of employment is teaching in a CAAHEP-accredited surgical technology program or its equivalent.

This includes RNS or other non-CST, CFAs who teach.

••CFAs who do not have the CST credential.

••Associate members have voice but no vote.

Requirements: Graduated from a CAAHEP or ABHESaccredited

surgical technology program. Currently an

AST member.

$160 Exam Application

$35 CST Exam Study Guide

$7 S&H

Requirements: Graduated from a CAAHEP or ABHESaccredited

surgical technology program. Not an AST member.

$160 Exam Application

$35 CST Exam Study Guide

$60 Membership ($20 discount—$80 - $60)

$7 S&H

AST Membership N/A Currently an AST Member $60

Exam Study Guide $55 $35 $35

Exam Application $290 $160 $160

S&H $7 $7 $7

••Any individual or organization that wishes to affiliate with AST. O.R. Purchasing Managers, O.R. Materials Managers, O.R.

Managers, Operating Department Practitioners, Central Sterile Supply Techs, Anesthesia Techs, Cardiac Cath Techs, Labor and

Delivery Techs, Autotransfustionists, Aides (UAPs), Employers or Manufacturers/Sales Reps of health care related companies

••Affiliate members have voice but not vote.

••Students formally enrolled in a CAAHEP or ABHES-accredited program. For the discounted $45 student membership and firsttime

exam bundle, please refer to the AST Student Application at www.ast.org.

••Retired member requirement—must be 65 or older and submit documentation of age.

••Disabled member requirement—must submit official documentation of permanent disability.

••Have voice and vote—maintains certification as defined by the NBSTSA.

••Have voice but not vote—has not maintained certification currency as defined by the NBSTSA.