Application

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Please complete the following form to apply for membership into PAD. Do not send payment for membership dues with this application. You will be billed upon enrollment as a member and dues are payable within 60 days after billing. Applications are acted upon by the Membership Committee of the Academy. Applicants will be notified of their application status within 30 days following the Committee’s decision.
Address Information
Educational Credentials
Professional Credentials
Membership

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NOTE: If selecting to pay by Check, please do not fill out the Credit Card Information section at the bottom of the form. Thanks.
Credit Card Information

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