Membership
Mail-in Membership Form
To join or renew immediately (using Paypal, a third-party payment processor, to pay dues), fill out and submit our online membership application.
- For technical problems with this mail-in form, please .
- For non-technical problems concerning a new or renewing membership, please .
Please fill out the form below, print it, and mail with your check
(payable to AHPCS) to AHPCS, 94 Marine Street, Farmingdale, NY
11735-5605. Fill out this form exactly as you
want it to appear in
the membership list. If you cannot fill out the form online,
please print
it first, then fill out by hand as legibly as possible.