Membership

Three options for submitting membership form and payment:

Pay with credit card or Paypal >>>>>
Use this option to pay via PayPal, on the Paypal page enter info in “Add special instructions to the seller”, as per the online form below:
Students are Free, just fill out online form below.
Download the form
Then fill it out by typing in it or print it out and enter info and send the check to the address below. Downloadable version of Membership Form (will open a new page)

Please make your membership checks payable to:

PHSAPA Membership Attn: LCDR Philip Lafleur 20 Reardon Rd. Billerica, MA 01821

*(denotes required field)

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Rank

Address

Home Phone

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Agency (exp. BOP/IHS)

AAPA #

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Civil Service/GS Rating

Active Duty/Retired

Membership - $ 35.00

(please submit your payments for the July 1st 2011 – June 30th, 2012 fiscal year between April through June 30th 2011, thank you)

Student Membership - Exempt

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