PAYPAL DUES FORM

Please fill out form below and then select 'Pay Now' button'. This will take
you to the PayPal site where you can pay your dues by credit card or via PayPal.

**Please check here for more instructions and information.**

ATHA Dues by Country: USA, Canada, or Overseas	Overseas $55.80 Canada $28.00 USA $26.00
Type of Member	New Member Renewing Member
First & Last Name
E-mail address
Phone Number
ATHA Chapter(s)
Allow Info added to membership directory (yes,no)?

Last updated April 8, 2010