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Online Dues Payment Form


Have you received your degree? Please note: If you have been awarded your doctoral degree and are currently doing your post doc you may maintain your status as a graduate student for one more year. If, however, you are employed as a non-licensed psychologist and/or have plans to sit for licensure, you need to change your status in MPA to that of a full member. Applications for status change are available here.


Name:
Phone Number:
E-Mail Address
Confirm E-Mail Address
School information

(Required for MPAGS membership)

I am currently enrolled in a graduate program at:

Address:

Use the drop downs below to subscribe or unsubscribe to listservs. Happy with your current listserv settings? Leave these blank.
Listserv Subscriptions MPAGS listserv - used by grad students to discuss and share pertinent school, psychology, and career issues
MPANEWS - announcement-only listserv, used sparingly
MPA listserv - interactive list used by members to discuss pertinent information with colleagues, i.e., referrals, ethical questions, practice information, etc.

Contact Information All information is correct on the dues bill that was emailed to me
Update the following mailing/email address, phone number, etc. (be sure to tell us if it is home or office and indicate which address/phone is being replaced):

Total Dues $40

Payment

When entering your Credit Card information please include the billing address that matches your credit card billing address. Thank you!

Name On Card:
Credit Card Type:
Credit Card Number:
Expiration Date:
Billing Street Address:
Billing City:
Billing State:
Billing Zip:


(Your credit card information is being sent over a secure server.)

Once you submit your dues payment, you will receive an e-mail confirming that MPA has received your dues.