Individual Membership Application Form

Join ASPA Form

ASPA Associate membership for individuals.
Please note: When you complete the membership form on the following page, you will be required to make payment. Memberships submitted without payment are not processed. If you have any questions, please contact us.

Membership Level*

Associate Membership (one-time only charge).$30.00

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Your Name*

First NameLast Name
Employer Name (if applicable)
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail (your e-mail address is not published) *
Telephone Number

Area CodePhone Number
Would you like to receive the ASPA newsletter?*

YesNo
Once you click "Submit" you will be directed to the secure PayPal page to make payment. You can make payment using your credit card or PayPal account. Please note: Your information will not be processed until we receive payment for your membership.
By clicking "SUBMIT," you affirm that you are at least 18 years of age and have read and agree with our Terms of Use.
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Join ASPA Form