APTA Membership Application - Fillable Form

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Fill out the information requested by typing in the information while the form is displayed on your screen. Use the tab key or the cursor to navigate a fillable PDF once it is open. Note: Adobe Reader does not allow you to save your completed forms. After completing the form, print (some information, such as signatures, are required to be handwritten on the form) and then mail it to:

APTA Member Services
1111 North Fairfax Street
Alexandria, VA 22315

Membership Application - Fillable Form (.pdf)

Warning: Never e-mail or fax a document with your credit card information. Return this document by mail only.

CSM 2016