Please complete information. Please enclose copies of
your AAPA, or affiliated AAPA constituent organization card, NCCPA
and/or Illinois Registration membership card along with your check for
dues and return to address below.
Mail completed form with check to 225 East Cook Street, Springfield,
IL 62704. Call 217-241-0232 with any questions! Thank
you!
Please download the form and fill it out online before
printing and mailing to IAPA.