Forms

FORMS & INSTRUCTIONS - 2010

APA DATABASE INFORMATION

Keep your information updated by completing this form

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Active Member:	YES
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Not Active, but would like to remain on list for updates	YES
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ATL CHAPTER DUES DESCRIPTION:

Annual Membership for National APA Members:	$40.00 (National APA Mbr)

Annual Membership for Non-National APA Mbrs:	$50.00 (Non-National APA Mbr)

Corporate Membership - One MUST be a Natl Mbr Complete a form for each mbr	$100.00 (three Members Only)

Additional Corp Mbrs	$20.00 (Additional Mbrs-3 MAX)

List each member covered:

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* REQUIRED FIELD