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MEMBERSHIP APPLICATION/RENEWAL

AGENCY/ASSOCIATION CONTACT INFORMATION

(Please fill out all of the requested information)

A. SELECT THE DUES CATEGORY THAT MATCHES YOUR SITUATION

DUES: Full Members - Eligibility for full membership is defined as any agency/association, person, firm, partnership, or corporation that provides and/or coordinates services and/or supports for one or more persons with disabilities that is not owned and operated by a public entity.

(Dues are based on total estimated DES contract funds)

Estimated DES Contract Funds: AAPPD Dues Rate:




















 
 

IMPORTANT INFORMATION

AAPPD is 501(c)(4) organization. Dues, contributions, and other assessments paid to this association may be deducted as a business expense, but may NOT be deducted as a charitable contribution; 11.73% of net dues are not deductible in accordance with IRC Section 6033.

Dues are payable prior to the period covered. For example, quarterly dues would be payable prior to 7/1/21, 10/1/21, 1/1/22, and 4/1/22.

AAPPD uses email as the principal means of communicating with members to inform you of our activities and important happenings. By providing fax number(s) and any email addresses associated with your organization, you hereby consent for the organization to receive fax and email communications sent by or on behalf of the Arizona Association of Providers for People with Disabilities (AAPPD).

DUES: Associate Members

An associate member can be any consultant, vendor, law firm, supplier, emeritus, or individual who does not receive contract funds through DES.

An associate member is entitled to all membership benefits in AAPPD except the right to vote.

Associate status is not open to individuals or agencies that provide residential or other support services to people with disabilities that are eligible for full membership in AAPPD


 

B. PAYMENT OPTIONS

 

AAPPD'S FLEXIBLE PAYMENT SCHEDULE

per month for 12 months
two payments on July 1 & Jan 1
per month for 4 quarters
one payment on July 1
 

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