Join AVAPL (New Member)

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Join AVAPL (New Member)

To apply for membership in AVAPL, please complete the following information. As a new member, you may join for the reduced fee of $50.00 for the first year. For an explanation of the levels of membership, please click here.

(Fields marked with * below are required fields. AVAPL will never sell this information to a third party and will use this information only to contact you about matters related to the organization.)

Please provide the following contact information:

*First Name
*Last Name
*Degree
*Job Title
*Facility
*Location
*Street Address
Address (cont.)
*City
*State
*ZIP Code
*Work Phone
FAX
*E-mail

*Please indicate for which of the following (if any) you are interested in volunteering:

Membership Services
Educational and Professional Development
Newsletter
Web Development

The level of membership for which you are applying or renewing:

New Member

If you want to pay for your membership by mail, please print out this page and mail it along with your check, made payable to AVAPL. For the address to send your application and check, please e-mail Ann Landes, Treasurer at trea...@avapl.org (In order to thwart spammers, clicking on the above e-mail links requires you to respond to a "challenge" before the e-mail address is revealed. You need to click on the underlined ellipses [...] to activate the link.)

If you would like to pay by credit card, click the "Submit" button below to submit your application electronically and to go to an internet site where you can enter your credit card information. Click "Reset" to clear the above information and start over.

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