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Membership Application

1.   Please copy and paste this form into an email.

2.  Fill in the information requested.  

3.  Send your membership email to


Full Name:

Mailing Address:

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: 

Card Number:

Expiration Date:

Security Code: 

I authorize payment of the annual membership fee of $98.  


Type your name as your electronic signature


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