Membership Application

Join APWCA by using the online form below. This form will also create an account in our system, so you can view and update your membership information. Please be sure to make a copy of your email and password for your personal records.

Click here to download an application if you prefer to email, fax, or mail one to us.

Limited time! To qualify for the 'Refer a Colleague' summer promotion, please list the person referring you in the 'Referred By' field on the application.

New! Interested in multiple memberships for your organization? Take advantage of group membership discount plans for hospitals, clinics, and educational institutions. Sign up 5+ for a 10% discount or 10+ members for a 20% discount on annual membership rates.