PACE International

PACE International Membership Application

PACE = Patient Advocate Career Exploration

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Not quite ready to fill this out?  Learn more about PACE International Memberships.

Do you live in the US or Canada?  You are not eligible for this PACE International Membership. Please link to our PACE Membership registration application instead.

Things to Know:

1. Write down the ID and Password you choose.  You’ll need them when it’s time to log in.
2. Once you submit the form, you’ll be taken to Paypal to submit your payment ($59 USD for one year)
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, your application will be complete, and you’ll receive all the information you need to access your new membership.

*Required Fields

First Name:* First Name Required

Last Name:* Last Name Required

City:* City is Required

Country (Outside US and Canada): Country (Outside US and Canada) is not valid

Why are you interested in advocacy as a career?: Why are you interested in advocacy as a career? is not valid

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

Have a coupon?

Coupon Code: Invalid Coupon

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

 

No val Please fix the errors above