Online Membership Form

Information Standard Membership in PAPOR is $20 per calendar year, while student members pay only $12. There are several ways to submit your application for PAPOR membership: – Join during the year online here by filling out the form below – Fill out a form (download) and mail it with a check – Join or renew during registration for the annual members's conference. – Pay your PAPOR chapter membership dues when you join or renew your national AAPOR membership. Non-members pay a one-time discount rate of $30 for joint 2010/2011 membership, during conference registration. This online form may be used to update your address and other contact information or to submit membership information in conjunction with a conference registration. Please select the appropriate option in the payment section below.
Print & Mail Membership Form



Membership Registration Form (2010) NOTE: Membership year is January through December. Information marked with an asterisk is required.
1. Preferred Contact Information

Preferred Honorific:
First Name*
Middle Initial:
Last Name*:
Credential(s) (Ph.D, etc.):
Address 1:
Address 2:
City:
State:
Zip*:
Phone
Mobile phone
Main contact e-mail*:
Please Re-enter e-mail*:


Primary Affiliation:

Alternate e-mail:



2. Code of Ethics* All AAPOR and chapter members are required to read and adhere to the AAPOR Code of Ethics statement. Please verify that you have read the code and agree to abide by its tenets, by checking the box below. I have read, and agree to abide by, the AAPOR Code of Professional Ethics and Practice

3. PAPOR Membership Information and Fees*
Type of PAPOR Membership - Select one: Standard Membership Student Membership

Membership payment - Select one: Paid 2010 membership through AAPOR Paid 2010 membership through PAPOR Paying membership dues now

New / Renewing PAPOR Member - Select one: New PAPOR Member Renewing Member - contact information the same Renewing Member - contact information changed

Are you a member of AAPOR? Please give us your member number, if you know it:

When you are done, submit the form. When it is accepted, you will be prompted for payment, if required, and a copy of your registration information and a receipt will be sent to your main contact email address. PAPOR accepts payment by check, credit card, or through your bank or PayPal account.