Membership Application

Please review all membership and billing policies before completing all information in this application.

HASC Member Application

Terms & Policies


Annual Membership Fee: $425

**New and lapsed memberships are subject to a setup fee.

Make your check payable to HASC, Inc. and mail to:
5213 Center Street
Pasadena, TX 77505

For questions or to arrange payment call (281) 476-9900 x310

Registration Form



Physical Address

Primary Contact

Secondary Contact

Billing Address Same as Physical

Billing Contact

Company Contacts
Please provide the following contacts for your company:
CEO / President:

Mailing Address: Same as Physical / Same as Billing
Training/Safety Manager:

Mailing Address: Same as Physical / Same as Billing

(888) 955-SAFE    info@hasc.com
© 2017 Houston Area Safety Council