AAP/PLAN Contribution Form

Click to Contribute Online - Quick, Easy, Secure! You can make your contribution to AAP/PLAN by credit card or check. To contribute using your credit card securely online, click here. To contribute using a check: Complete and then print this page and mail it with your check to AAP  • P.O. Box 38129 • Colorado Springs, Colorado 80937. You can also click "Submity" to send it electronically to AAP, but you must mail your check and a copy of the form. Or, for easy, secure online contributions, CLICK HERE. Name Address City, State, ZIP Telephone Email One-time contribution of $ I would like to arrange a regular periodic contribution. To do this easily and securely, click here. Otherwise please call AAP at 800-869-6595. Area of primary concern: (Please place a '1' next to your primary area, and, optionally, 2, 3, and 4 next to second, third and fourth ranking areas): Practice Legislative Agenda Education Legislative Agenda Science Legislative Agenda To comply with Federal Election Commission requirements, we must confirm that the following statements are true for all contributors. Please check the box before each statement that applies to you. Your contribution cannot be accepted unless each box is checked. Please check the following: Personal Funds: This contribution is made from my own funds and not from those of another. Source of Funds: This contribution is not made from the general treasury funds of a corporation, labor organization, or national bank. Resident Verification: I am not a federal government contractor, nor am I a foreign national who lacks permanent resident status in the United States. Legal Obligation: This contribution is made on a personal credit card for which I have the legal obligation to pay, and is not made on a corporate or business entity credit card or on the card of another person Please sign and include your check. To contribute online and pay by credit card securely online, click here instead. Signed_____________________________________ Date __________________ . .

The Board of AAP is elected by the membership. You can join AAP today either by printing and sending your application, or directly and securely on-line using your credit card.

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Copyright 2008-2010 Association for the Advancement of Psychology. All rights reserved.

Association for the Advancement of Psychology (AAP) P.O. Box 38129, Colorado Springs, CO 80937-8129
Karen Rivard - Administrative Director Phone: 800.869.6595 Fax: 719.520.0375 Email -
Stephen M. Pfeiffer, Ph.D. - Executive Director Phone: 800.735.7305 Email -