A/CAPA INDIVIDUAL MEMBERSHIP FOR 2023-24 SCHOOL YEAR

For an annual fee of $90 plus 3% credit card convenience fee included, participating Members will receive the following benefits:

• Complimentary registration for a one day meeting
• Complimentary access to the association webinars
• Member rates for the annual three day conference held in Hershey, PA
• Access to member resources on the A/CAPA website

Individual members, simply complete the membership registration form online.  Once you have submitted your information, you will receive an automated response confirming your membership application.

Name:*

First Name Required Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

-- Select Country -- United States

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Salutation:* Salutation is Required

Dr.Mr.Mrs.Ms.Miss

First Name:* First Name is Required

Middle Initial: Middle Initial is not valid

Last Name:* Last Name is Required

Email Address:* Email Address is Required

Office Phone Number:* Office Phone Number is Required

Office Phone Extension: Office Phone Extension is not valid

Office Fax Number: Office Fax Number is not valid

Publish Contact Information?:* Publish Contact Information? is Required

Yes No

Position: Position is not valid

Facility Type:* Facility Type is Required

Charter SchoolCTCCyber Charter SchoolIntermediate UnitOtherOther PA SchoolsSchool District

Purchase Order Number:* Purchase Order Number is Required

Intermediate Unit (where you're located):* Intermediate Unit (where you're located) is Required

NONEAllegheny IU 3Appalachia IU 8ARIN IU 28Beaver Valley IU 27Berks County IU 14BLaST IU 17Bucks County IU 22Capital Area IU 15Carbon-Lehigh IU 21Central IU 10Central Susquehanna IU 16Chester County IU 24Colonial IU 20Delaware County IU 25Intermediate Unit 1Lancaster-Lebanon IU 13Lincoln IU 12Luzerne IU 18Midwestern IU 4Montgomery County IU 23Northeastern Educational IU 19Northwest Tri-County IU 5Philadelphia IU 26Pittsburgh-Mt Oliver IU 2Riverview IU 6Schuylkill IU 29Seneca Highlands IU 9Tuscarora IU 11Westmoreland IU 7

Student Information System Used:* Student Information System Used is Required

NONEOtheralmaeSchool eSchoolData (CSIU)FocusInfinite CampusLeader ServicesPowerSchoolSapphireSkywardSynergyAspenRedikerFirefly

Username:* Invalid Username

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

Password Strength  Password must be "Medium" or stronger

Pay with Credit Card (3% convenience fee included)

 

No val Please fix the errors above

Pay Acapa.org

$92.70 / Year

Terms: $92.70 / Year

 

	Individual-POL – Initial Payment $92.70 / Year	$92.70
	Total	$92.70