All questions marked by an asterisk are required
Event Name:
THIMA Legal Portal | Oct. 2022-Sept. 2023
 THIMA/AHIMA Member 
 Non-Member 

  {xxx-xxx-xxxx}

Please enter below the email address of each portal user. Please note that

if you have a FaceBook, Yahoo, or a Google Gmail account you can use your
existing login to enable single sign-on to the portal.  Simply provide the email address below.

 Yes 
 No 

I have reviewed and acknowledge acceptance of the terms and conditions which includes the insufficient check funds policy and the credit card terms and conditions.

 Pay by Check
 Credit Card
  {Checking this option will save your information for future registrations}