Please fill out this online form, print a copy for your records, and then submit your online

payment via our Paypal plan.

ANTSHE Membership form

You may also print this form, fill it out and mail it with your payment to the address below.

You may also fax your filled out application to the number listed below.

(membership not activated until payment has been verified)

ANTSHE
c/o Ms. Betty Mixon-Mayo
Delta State Univ., Box 3211, 1417 Maple
Cleveland, MS.  38733

Phone:  360.539.4761

Fax  866.887.9940

Membership questions?

membership@antshe.org

You may also donate to our cause by making a tax deductible donation here!

For your convenience, once you have submitted you online application you may send us your membership fee via PayPal