Membership Application (non-APG) This application form is for non-APGs and non-APG staff members. nonAPG Member Application Contact Main MotivationMembership Level Organizational ($250/yr) Individual ($150/yr)Who is paying the AAPG membership fee? Organization IndividualPreviousNextPersonal InformationThis section is about information pertaining to you.Position/TitleFirst NameLast NamePrimary PhonePrimary Email (Please double check the spelling!!)Secondary EmailPreviousNextPersonal Information (cont.)This section is a continuation of information pertaining to you.Licenses/CertificationsAddressCityStateZIPPreviousNextOrganizational InformationThis section is about information pertaining to your organization.Organization NameOrganization PhoneOrganization AddressAddress Line 1Address Line 2CityStateZIPWebsiteYear Organization EstablishedWhat is your organization's structure? Nonprofit For profitWhich social media platform(s) does your organization use? Facebook X (formerly Twitter) Instagram YouTube LinkedIn Other We don't use social mediaFacebookX (formerly Twitter)InstagramYouTubeLinkedInOther Social Media AccountsPreviousNextOrganizational Information (cont.)This section is a continuation of information pertaining to your organization.Director First NameDirector Last NameDirector's Licenses/CertificationsDirector PhoneDirector EmailDo you want your organization's director's contact information to be publicly posted in the AAPG Member Directory? Yes NoContact Person First NameContact Person Last NameContact Person PhoneContact Person EmailPreviousNextOrganizational Information (cont.)This section is a continuation of information pertaining to your organization.About your organizationCan the above 'About' paragraph be displayed publicly on the AAPG's Member Directory webpage? Yes NoAbout Your Organization (Public Version)High Resolution Logo Upload (Vectorized Images Preferred)Choose Image Can the uploaded logo be displayed publicly on the AAPG's Member Directory webpage? Yes NoAdditional CommentsPreviousNextMembership PaymentPlease provide your payment details.Name on CardEmailMembership TypeOrganiational$250 for each yearIndividual$150 for each yearNo payment items has been selected yetPay with Card (Stripe) Previous Submit Application
