Membership Form

(Alternatively, here is a PDF version that can be downloaded, printed and mailed if so desired.)

Thank you for your interest in ALPhA. Membership contributions for 2014 are $30. To join or to renew your membership in ALPhA, please fill out the form below. You may contribute with a credit or debit card, Paypal, a check, or by being invoiced—details below.

Personal Information

Your Relationship with ALPhA

Yes     No

Payment Information

When you click on the submit button below, you will be taken to an acknowledgement page. From there you may choose your mode of payment. The choices are:

  1. Credit Card: Click on the "Pay Now" button on acknowledgement page; this takes you to a secure Paypal-managed webpage. On the Paypal webpage, choose "Pay with debit or credit card," and follow the instructions thereafter.
  2. Paypal: Click on the "Pay Now" button, but this time choose to "Log in to my Paypal account" and follow the instructions thereafter.
  3. Check: Ignore the "Pay Now" button and instead write a check for $30 USD, made payable to “ALPhA”, and mail it to the ALPhA Treasurer.
  4. Invoice: If you wish to be invoiced, indicate on the form below that you wish to be invoiced for your contribution. Be sure to click the submit button below. The Treasurer will contact you with an invoice.

I am paying with a credit card   (Mastercard/VISA/AmExpress/Discover)   or Paypal
I am mailing you a check
I wish to be invoiced for my membership contribution