Become a Member

Thank you for considering joining CAPPA! Our organization appreciates and relies on the support of our members. Please fill out the form below to begin the registration process. Fields marked with an asterisk (*) are required. If you would prefer to pay by check, print this page out, fill in the required information, and send it to our mailing address.

Please note that most of this information will be listed in our public member directory unless you specify otherwise. Though some things are not made public (such as the length of membership you chose), you may choose not to list certain information by unchecking the "show in directory?" checkbox next to each field. You may also choose to have your entire membership remain hidden by unchecking the "Show your information in the public directory?" checkbox at the bottom.

You must be at least 18 years old to join CAPPA.

Length of membership *
1 Year ($45.00)   2 Years ($80.00)   3 Years ($110.00)   5 Years ($165.00)

Your name (first, middle, last) *

Street address *

Street address (continued)

Street address (continued)

City *

State or province *
-or-

Zip code *

Country *    show in directory?

Business name    show in directory?

Daytime phone    show in directory?

Evening phone    show in directory?

Fax number

Email address *    show in directory?

Website URL    show in directory?

Comments, notes, etc.

Certifications    show in directory?
To select multiple certifications hold the CTRL key and select the certification(s).

What services do you offer?    show in directory?
To select multiple services hold the CTRL key and select the service(s).

Show your information in the public directory?