Membership Application/Renewal Form

2018-2019 Membership Rates
Professional $75.00
Student $20.00
Retired $10.00

MAHPERD uses your email address for MAHPERD communications only. We do not share our database with any businesses or organizations.

If you are paying with a scanned or digital purchase order you can attach it to this form by clicking Choose File below. If you are paying via credit/debit card finish this form and click Submit below. Either way you’ll be taken to a payment page. If you’ve paid with a purchase order just close the payment page since you’ve paid with the purchase order. If paying with a credit/debit card complete payment on the payment page to compete your membership application/renewal.

Current Full Time Students

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 either by attaching a purchase order of paying by credit/debit card.