Online Application

There are two easy steps to become a KPAA member:  1) Fill in the form below and choose the type of membership – General or Supporting.  Then select if your membership will be for a nonprofit, community group, government agency, business or you as an individual.    (The “How to Join” page describes the types of membership.)  Next, click on the Join Now button to submit your membership information.  2) Click on the Pay Now button to pay your annual dues with a credit card.  Mahalo for your membership!

STEP 1 – MEMBERSHIP INFORMATION:

First Name:*
Last Name:*
Company:
Email:*
Address:
City:
State:
Zip:
Country:
Phone Number:
Fax Number:
Website:
Type of Membership:	---GeneralSupporting
Select One:	---IndividualNon-ProfitGovernment AgencyCommunity GroupFor Profit Business
Name of Voting Representative:
Voting Representative Title:
Voting Representative Email:
Comments:	(Comments)
	Help us stop spam. Please type the characters below into the box on the right.

STEP 2 – PAYMENT:

Click on the Pay Now button to proceed to PayPal to complete your payment.  You can find the amount due on the “How to Join” page.  Fill in the amount and click on Update Total.

Either log in to your PayPal account or look for “Don’t have a PayPal account?” and click “Continue” to pay with a major credit card.  Once you have completed the process you will receive an email confirmation that your payment has been received. Thank you for your interest in supporting KPAA!