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Abridged Guidelines for Parliamentary Procedure - New York State ...

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22APA Division 31(<strong>State</strong> and Provincial Psychological Association Affairs)APPLICATION FOR MEMBERSHIP(please complete application and send with check payable to APA DIVISION 31)Name:________________________________________________________________Address:_______________________________________________________________________________________________________________________________________Phone___________________________FAX______________________________________E-Mail_____________________________APA Membership #________________________Present member in APA - Circle oneFellow Member Associate Non-member<strong>State</strong> Association to which you belong<strong>State</strong>/Provincial Association Category - Circle oneMember Associate Affiliate Professional StaffStatus Sought in Division 31 - Circle oneMember Associate AffiliateHighest Degree______________I also want to join the following sections of Division 31____Psychologists <strong>for</strong> <strong>State</strong> and Political Advocacy____Psychologists <strong>for</strong> the Advancement of Pharmacotherapy____I want to join the Membership Committee of Division 31I am interested in state or provincial psychological association affairs and apply <strong>for</strong>membership with the Division of <strong>State</strong> and Provincial Psychological Association AffairsSignature:_____________________________________Date:_______________________Return with check to:Sandra E. Tars, Ph.D., 202 Byron Road, Fayetteville, NY 13066-191622

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