Create New User Account

Create New PHTA User Account

Please complete all fields below to create your New User account. If at any point you need assistance please contact PHTA Member Services at membership@phta.org or by calling (703)-838-0083.

NOTE: The E-mail address and Password used to create a new account will be required to Sign In after creating the new account. The e-mail address entered will be your Username and the Password entered will be the password you will use to Login on the next page.

A strong password should have: length = 8, numeric characters = 1, upper case characters = 1, lower case characters = 1, symbol characters = 1.

First Name

Middle Name

Last Name

Enter E-mail

Confirm E-mail

Create Password

Confirm Password

Country

To select a company, just start typing. When you have entered at least 3 characters, you will see a list of matching company names you can select from.
Click the “+” button to add a new record.
Parent Company

- Address Type
  
  Street 1 *
  
  Street 2
  
  City *
  
  State/Province *
  
  ZIP/Postal Code *

Before creating your account we need to verify that you are a real person. To confirm that you are really seeing this screen please type the characters you see in this image into the box below it:

If you can't read the characters click here to generate a new image

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