1. Please copy and paste this form into an email.
2. Fill in the information requested.
3. Send your membership email to email@example.com.
City, State, and Zip:
Web (if any):
Practice or Business Name (if applicable):
Degrees, Certificates, Designations, Diplomas, Seminars, Programs Completed:
Have you read any books or completed any courses or programs in positive psychology? If so, please list:
Why are you interested in joining and being a member of our association?
What is it about positive psychology that interests you?
The annual membership fee is $98.
Please provide the below information for payment:
Name on Card:
Address on Card:
City, State, and Zip for Card:
I authorize payment of the annual membership fee of $98.
Type your name as your electronic signature