Online Membership Application/Renewal Form

This form is for joining/renewing your 2018-2019 MAHPERD membership.

Please use this form if you are paying with a credit, debit card or purchase order.

Memberships are non-refundable.

If you want to pay by check or purchase order please click here to download a membership form to mail in.



Please review all the information that you've entered. When you click on the Submit button you will go to a secure web page for payment to complete your membership/registration transaction(s).

Your membership/registration will not be finalized until you complete the payment portion of the membership/registration process.