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CPAA Retired Membership Application
Dues for retired members are $50 per year. If you sign up between January 1 and June 30, an invoice will be mailed to you after July 1. If you sign up between July 1 and December 31, an invoice will be mailed to you upon receipt of your application.
First Name
*
Last Name
*
Salutation
Ms.
Mrs.
Mr.
Dr.
Home Address
*
Home City
*
Home State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Home Zip Code
*
Phone
*
🛈
Email (Non CPS)