Please complete the application below and print it out and mail with a check for $35.00 to our address listed at the bottom of this form.

Your yearly dues to the National APA does not include our local chapter.

Your Name:
Your Title:
Company:
Company Address:
City
State
Zip
Prefered Email Address (please list optional email below)
Home Phone:
Business Phone:
Business Fax:
Are you a member of National APA? YES NO
Are you a CPP (Certified Payroll Professional)? YES NO
Optional Email Address (in the event of issues with preferred email)
Would you like to have your name & company listed in our booklet sent to our chapter members? YES NO
Enter the number below to submit your information. 4055 anti-spam effort
All required fields are colored.

Enclose a check for $35.00 along with this completed application.

Make check payable to: San Diego Chapter of the APA

Mail this application & your check to:

San Diego APA Chapter
P. O. Box 881523
San Diego, CA 92168-1523