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APAI Online Membership Registration Form
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Fill out the below form to join online or use our
Printable Dues Form (PDF).
First Name
Last Name
Title
Agency
Email
Agency Phone
Agency Address
Agency City
Agency State/Province
US:
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AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
International:
Agency Zipcode
Agency Country
Agency Fax
I am a U.S. Parole Commission or U.S. Military Parole Board member.
Membership Type
Individual $60.00
Organizational (up to 8 Members) $350.00
Organizational (up to 13 Members) $450.00
Organizational (14+ Members) $550.00
Corporate (Unlimited Members) $1000.00
Associate $40.00
Student $15.00