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APHA Premium and Premium +ADL Membership Application

 

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Once we receive your payment, your application will be complete. You’ll get all the information you need to access your new membership.

Not quite ready to fill this out?
Learn more about APHA Premium Memberships.

Find the application form below.

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 a payment page.  When you see the word “SUBMIT” just click on it, and it will take you to the next step.
  3. A Premium / Premium +ADL membership costs $289 for the first year.  Renewal cost is $259 for six more months. 
  4. Sometimes submission takes up to a full minute. Be patient!  You do not need to click on SUBMIT more than one time.

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Before you fill out this form, see if you are entitled to an Affiliate Discount. If so, then you will be supplied with a different application link. It will look identical to this one! But the discount will be built in when you get to the Payment page.

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APHA - The Alliance of Professional Health Advocates
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