Welcome
Who We Are
Team Care
Membership
Education & Meetings
News & programs
Journal
Links
Research
Members Only Section

Membership Applications
American Cleft Palate - Craniofacial Association
ACPA : Membership : Applications

benefits · types · dues · application · code of ethicsawards

Membership Application

The application review process takes approximately eight weeks. You may prepay your membership dues with your application; or, following acceptance by the ACPA Membership Committee, you will be notified and billed for your dues and one-time entrance fee (if applicable).

For the this calendar year dues are:

Member Status Dues Entrance Fee 1st Year Total
Active $150 $25 $175
Associate $150 $25 $175
International** $185 (includes $35 airmail fee) $25 $210
International Student** $110 (includes $35 airmail fee) Waived $110
Student $75 Waived $75

If you are applying for Student or International Student Member status, you must be a full-time student or resident, and you need to obtain a letter from your department chair to verify your enrollment. In addition, please note that sponsor signatures are required on all but International and International Student applications. The National Office is happy to provide assistance to applicants seeking sponsors.

**International and International Student members may avoid the $35 airmail fee by electing to view the Journal and Newsletter online only (as opposed to receiving print editions).

If you have any questions at any time during the application review process, feel free to contact Rafael Goldberg, Member Services Manager, at membership@acpa-cpf.org. We look forward to hearing from you!

The PDF version of the Membership Application can be downloaded, completed and subsequently printed. In most cases you will not be able to save the file to your computer, so be sure to print it out after you fill it out!

Your original signature is required, therefore, the ACPA National Office does not accept on-line applications.

Applications must be signed and sent by surface mail to the National Office address provided within the application.

All applicants must agree to abide by the ACPA Code of Ethics.

PDF Format*
*need Acrobat Reader

Get Acrobat Reader free.

 

 
WelcomeWho We AreTeam CareMembershipEducation & MeetingsNews & ProgramsJournalLinksResearch
[ACPA logo]

 

American Cleft Palate-Craniofacial Association

ACPA/CPF
1504 East Franklin Street, Suite 102
Chapel Hill, NC 27514-2820 USA
(919) 933-9044 , Fax: (919) 933-9604
info@acpa-cpf.org

© 2005 American Cleft Palate-Craniofacial Association

[CPF logo]
 Cleft Palate Foundation

La Fundación del Paladar Hendido