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ASSOCIATE MEMBERSHIP

This form is for any agency or individual not qualifying for another membership category.

Associate members will NOT be listed on the AAPI website.

Period of Renewal


April 1 to March 31



LICENSE INFORMATION

First Name *
Last Name *
Agency Name
Agency License # (Not for AB)
Individual License # (Not for AB)
Job Title *

Fees


Coporate Membership - FREE
Individual Membership
Associate Member - FREE

CONTACT INFORMATION

Street Address *
City *
Province *
Postal Code *
Province *
Email Address *
Telephone # *
Accept Terms *

By virtue of this application, I agree to adhere to the Bylaws, Code of Ethics, Standards of Practice, Policies, Procedures, and Rules & Regulations of the Society as established. All members recognize that failure to follow the Bylaws, Code of Ethics, Standards of Practice, Policies, Procedures, and Rules & Regulations of the Society or failure to support the objectives of the Society may result in an investigation by, and suspension or expulsion from, the Society.