Please fill out the following form to join the MIAAP. Payment can be submitted by calling the office at 517-484-3013 or by mailing a check to: MIAAP, 106 W. Allegan, Suite 310, Lansing MI 48933.

National AAP members may also call the national AAP office at 1-800-433-9016 and request that the Michigan Chapter membership be added to your record.

AAP ID#

Degree

Institution/Practice

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

Phone

(###)

###

####

Referred by

Membership Type

For more information, please contact Laura Wagoner at 517-484-3013 or laura.wagoner@miaap.org.