Platinum – AAPC

STEP ONE

SELECT A MEMBERSHIP TYPE

STEP TWO

GENERAL INFORMATION

STEP THREE

PAYMENT & CHECKOUT

Organizational Membership | Platinum

Organizational information

From: $1,000.00 / year

Platinum Membership

Clear

Company Adddress(Required)

Business Phone

Business Address

Billing address same as Company address

Party Affiliation(Required)

Areas of Expertise(Required)

Area of Operation

International

Choose State(Required)

All US States

Add Individual US States

States of Operation(Required)

Individual Information

First Name(Required)

Last Name(Required)

Email(Required)

Phone(Required)

Do you give permission for AAPC to send you text messages?(Required)

Opt Out of Online Directory?

Professional Level

Billing contact if different

Billing email

The following information is secure and private and only accessible to AAPC staff. We collect this information to better understand our membership as part of our work to deliver inclusive programs that appeal to everyone in our community.

Gender

Ethnicity

Age

If someone referred you to us, please let us know who.

Company Name *

hidden (optional)

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