APHA Premium plus My Junna Membership Year One

(Not currently a user or member of either service.)

Things to Know:

1. First year is $1,229 per year total for both services. (Includes a $100 set-up fee for My Junna.)
   
2. Fill in the form below.
   
3. Sometimes submission takes up to a full minute. Be patient! You do not need to click on SUBMIT more than one time.

Once payment is received, you will be taken to a payment page. Once you have paid, your subscriptions for both APHA and My Junna will be paid for one year.

*Required Fields

First Name:* First Name Required

Last Name:* Last Name Required

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Zip or Postal Code:* Zip or Postal Code is Required

Country:* Country is Required

USA Canada Other

Education:* Education is Required

Briefly describe your relevant educational background.

Experience:* Experience is Required

Briefly describe your advocacy experience, paid or volunteer.

Which of the following organizations are you a member of, or participant in?:* Which of the following organizations are you a member of, or participant in? is Required

CSA (Certified Senior Advisor) iRNPA National Institute of Whole Health WASHAA Assumption College Cleveland State None of the Above

Do you hold any of these certifications? (We're trying to figure out what CEs to offer.): Do you hold any of these certifications? (We're trying to figure out what CEs to offer.) is not valid

BCPA CSA CLCP CGCM CMC CCM None of the Above

Where did you hear about The Alliance of Professional Health Advocates?:* Where did you hear about The Alliance of Professional Health Advocates? is Required

Username:* Invalid Username

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

Password Strength  Password must be "Medium" or stronger

Credit Card (Immediate Access)

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Check, Bank, or Money Order (Delayed Access)

To pay by check, bank or money order, check this box. The next page will bring up an invoice. Hit the SUBMIT button on the invoice to access mailing instructions.

I have read and agree to the APHA Membership Terms Of Service*

 

No val Please fix the errors above