2025 Membership Dues Member First NameMember Last NameCompany/Practice NameAddressCityStateWork/Practice Zip CodeHome/Residential Zip CodeEmail Address* Phone NumberLicense Number (if applicable)Graduate SchoolAPA Member?* Yes, I am an APA Member No, I am not an APA Member Were you referred by an existing member? If so, who?Are you interested in any of the following areas? Association Management (including Finance, Continuing Education, and Conference Program) Membership (including Overall Membership, ECP Membership, College/University Membership, Public Sector Membership, and Diverse Membership) Governmental Affairs (including Federal Government Affairs, State Government Affairs, Rural Practice Affairs, Business Practice Affairs, and Communications) State Assistance (including Disaster Relief, Colleague Assistance, and Substance Abuse Task Force) What advocacy issues are important to you?What type of CE events/topics would you like to see?What do you value most about WVPA membership?What opportunities/experiences would you like to see in WVPA?2025 Membership Type*Full Member ($240)Academic/Government Member ($120)Affiliate Member ($60)Associate Member ($240)Compassionate Circumstances Member ($60)Early Career Psychologist MemberLife Member ($60)Retired Member ($120)Student Member ($35)Please select the appropriate membership type for you from the drop down menu aboveEarly Career Psychologists Member years since graduation* Year 1-4 ($96) Year 5-7 ($144) Year 8-10 ($192) Product NameDonations Sustaining Member Contributing Member Yearly Dues Total: $0.00
