Re-Certification / Membership Fees

Re-Certification / Membership Fees
Type *

Re-certification Fee Membership Fee
Facility Name *
Invoice # *
E-mail *
Phone Number *

- Area Code Phone Number
Amount *

USD Enter amount found on invoice
PLEASE READ: When you click "PROCESS ONLINE" you will be redirected to the PayPal web site to make your payment. It is only when you complete your payment that your Re-Certification/Membership information will be sent to APT. If you do not complete your PayPal transaction your payment is null and void.
Should be Empty: