Membership Application Form

You may submit the following form via email simply by clicking on the "JOIN NOW" button
or you may print the form and mail to:

A.S.H.P.A. Secretary
Pat Ingraham
36408 North Black Canyon Hwy, Lot 351,
Anthem, AZ 85086
(623) 465-8351

Membership cards will be issued upon receipt of check or money order
Make Payable to: A.S.H.P.A.
Cards Cost:
$30.00 for adults,
$10.00 for Juniors
NOTE: Annual Membership fee includes NHPA and ASHPA dues.

First Name:
Last Name:
email Address:
Address:
City:
State:
Zip Code:
Area Code:
Phone No:
Applying as:
If Renewal enter number of yrs:
Category:

Membership Application Form

All fields Required