AAPPM Membership Application/Renewal

AAPPM Membership: Nearly 2,000 established practitioners, new practitioners, residents, podiatric assistants, executive office managers, staff members and students have learned that joining the Academy family can change their practice and change their lives. If you are not already a member, we invite you to join the AAPPM and find out firsthand how the positive sharing attitude of our leadership and members, our unique practice management meetings, mentoring programs and many other educational resources can help you change your practice and change your life.

All DPMs must currently be and remain in good standing of the American Podiatric Medical Association (APMA) to qualify for AAPPM memebrship. Membership fees are subject to change without notice.

First Name *

Last Name *

Credentials

APMA Member Number

Year Began in Practice: (if DPM)

Practice Name/DPM Name *

Street Address *

City *

State *

Zip Code *

Phone Number *

Email Address *

Application Type: *

Membership Renewal

New Member

Practice Type: *

Membership Type: *

Active APMA Member ($369)

Associate (4yrs or less) APMA Member ($169)

Executive Manager (non DPM staff member) ($139)

Assistant/Staff Member ($139)

Student APMA Member (Free)

Resident APMA Member (Free)

Senior APMA Member ($169)

DPM Member Name:

*All Executive Managers and Staff Members must have a DPM in your practice that is a current AAPPM member.

*

Are you the owner of your own practice? *

Yes

No

*

Information given on this application is accurate and complete to the best of my knowledge. I fully understand and gree that as a condition to making this application, any misrepresentations, misstatements or omissions, whether intentional or not, shall constitute cause for rejection of this application and/or membership,

*

I further verify that I, as a DPM, am a member in good standing of the American Podiatric Medical Association (APMA). *Although not applicable for Executive Manager or Assistant/Staff membership applications, please check

*

I authorize the American Academy of Podiatric Practice Management (AAPPM) to contact me via email address listed above.

How did you hear about AAPPM? *

Current Total:

$0.00