American Philosophical Practitioners Association


RENEW

APPA Membership Renewal Form
 
 


Required fields are indicated with red asterisks: *

Please note: if you submit this form without completing all the required fields, you will see an error message.

If you complete the form as required, you will see a confirmation message after you submit it.



All renewing members, please complete:

*Name:
*Address:

Address:

*City:
*State/Province:
*Zip/Code:
*Phone:
*E-mail:
Fax:
URL:

Dues: Auxiliary Member, $36; Adjunct Member, $54; Affiliate Member, $72; Certified Member, $90

Yes, renew my subscription to the APPA Journal at the preferred rate of $36.
(Non-members pay $72)


If you prefer to print out this form and mail it in, please enclose your check payable to APPA,

APPA
P.O. Box 166
Monroe, NY 10949-0166


If you prefer to submit this form electronically, the APPA accepts:
VISA, Mastercard, Amex, and Discover

*Card Number:
*Card Expiry Date (mm-yy):



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