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.

Once you submit the form, you’ll be taken to Stripe to submit your payment ($59 USD for one year)

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 not valid

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

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

 

No val Please fix the errors above