PAA Annual Membership

Register for PAA Annual Membership: Please enter the information below to register for annual PAA Membership. A receipt will be automatically emailed to you by the PAA office once membership has been processed. The computer will send you your new website password. You may need to check your SPAM folder in the event that your mail client does not recognize us and categorizes our response as SPAM. All membership fees are non-refundable and must be renewed by December 31st of each year. All fields below are required. * PLEASE FOLLOW THESE STEPS BELOW WHEN CREATING YOUR LOGIN NAME:* WHEN CREATING YOUR LOGIN NAME, PLEASE USE YOUR LAST NAME & AS MANY LETTERS OF YOUR FIRST NAME TO BRING IT UP TO A MINIMUM OF EIGHT (8) LETTERS. CREATE YOUR "LOGIN" IN "lowercase" LETTERS. DO NOT INCLUDE YOUR BUSINESS NAME IN YOUR LOGIN, USE ONLY YOUR "GIVEN" NAME. THANKS FOR YOUR COOPERATION!! [i.e. login='winglori'] THE INFORMATION YOU PUT IN FOR YOUR "PROFILE" ADDRESS IS THE ADDRESS THAT WILL BE IN THE "FIND A MEMBER" DIRECTORY. IF DIFFERENT FROM YOUR CREDIT CARD BILLING INFORMATION, MAKE SURE THAT YOU LIST THE INFORMATION SEPARATELY. THANKS FOR YOUR HELP.
PROFILE INFORMATION (this will be seen by other users):
Create Login Name:
First Name:
Last Name:
Email:
Company:
Address:
City:
State/Province:	(If country with NO states, leave blank)
Postcode:
Country:
Phone:
Fax:

BILL TO INFORMATION:
IMPORTANT! This address must match the credit card being used! If it is not on your card, it is the address where your monthly statement is sent to.
Address:
City:
State/Province:	(If country with NO states, leave blank)
Postcode:
Country:

MEMBERSHIP INFORMATION:
Membership Type: (select one)	Individual Membership (US & Canada Only) - $100 International Individual Membership (Outside US & Canada) - $100 Graduate Student Membership - $20 Emeritus Membership - $35 / ( ) $200 - 10 YEARS Sustaining Membership - $500
Section Affiliations: (select all that apply)		Multiple Section Affiliations can be selected by holding down the "CTRL" key and pressing the left mouse button.

CREDIT CARD INFORMATION:
Credit Card Number:	or
CVV Code:
Expiration Date:	(mmyy)
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