APA Membership

Please be sure the information in your APA Profile is complete and accurate. This will help APA know and serve you better. You may update or revise your APA Profile at any time.

APA Profile Information

All fields are required unless labeled as optional

Name

Prefix (Optional) :

First Name:

Middle Initial:

Last Name:

Suffix (Optional) :

Nickname:

Date of Birth:

PRIMARY EMAIL

Email is the primary way APA communicates with members. Please be sure your email address is always up to date. An alternative email helps to ensure that we can reach you.

EMAIL ADDRESS:

VERIFY EMAIL ADDRESS:

ALTERNATE EMAIL

EMAIL ADDRESS:

VERIFY EMAIL ADDRESS:

Create a Password

Password:

Verify Password:

PASSWORD VERIFICATION QUESTION:

ANSWER TO PASSWORD VERIFICATION QUESTION:

PHONE NUMBERS

Cell Phone Number:

Work Phone Number:

Home Phone Number:

Address and Chapter

All APA members in the United States must belong to a local chapter. Your chapter membership is based on your primary address.

Your primary address will also be your billing address unless you enter an additional address and choose to make it your billing address.

Address Line 1:

Street Address, P.O. Box, c/o

Address Line 2:

Apartment, suite, unit, building, floor, etc.

Country:

State/Province:

City:

Zip/Postal Code:

Company:

+ Add Additional Address

Additional Address

I want my additional address to be my billing address.

Address Line 1:

Street Address, P.O. Box, c/o

Address Line 2:

Apartment, suite, unit, building, floor, etc.

Country:

State/Province:

City:

Zip/Postal Code:

Company: