<%@LANGUAGE="VBSCRIPT" CODEPAGE="1252"%> CPSA Membership Form


Dues are paid annually and due on April 1st.

Print this form out and send it in with your check to:
CPSA, PO Box 487, St. Augustine, Fl 32085-0487

First Name:
 
Last Name:
  
Address:
 
City:
 
State:
 Zip: 
 
E-mail Address:
  
Phone Number:
  
Membership:
  
   

Dues

Individual $20
Household $20 plus $10 for each add’l member at same address
Full time Student $10
Business $50
Sponsors $50 & up

10% discount for five-year memberships