Secure Online Transaction

Thank you for joining AMP.
Step 1

This is a secure webpage that transmits your financial data encrypted to our servers. The charge on your billing statement will be to AMP (AMP's PAYPAL account).Dues are for a full 12 month period.

Please note: THIS IS A TWO STEP REGISTRATION PROCESS. After you enter and complete the billing information, you will be directed to our registration page. There you will enter the data that you want to appear in the AMP directory and member file. AMP uses this two step procedure to safeguard your financial data

If you are renewing your AMP membership, please be sure to select "AMP Renewing Member" from the below list.


The initial year of dues includes the application fees and are as follows:



Membership Level  Initial Year      Annual Renewal
Fellow                $150              $75                                          
Member                $75               $50                                    
Student Member        $50               $25                                               

For those individuals who are NAPPP members, NAPPP will contribute $25
towards your annual dues.
Today's Date: Name:

EMAIL Address:

I am applying as a :

Membership Category:

Credit Card Billing Address:
City:
State: ZIP:

Area Code: Telephone:



Type of credit card?
Card number:
Expiration Date:
Three(3) digit security code on back of card. If your card is American Express, the verification code is 4 digits, and is printed on the front of the card on the far right:

Amount Authorized To Charge Your Card:

By submitting this application for membership you agree that the
information that you supplied above is true and correct and to the following:
     1. Attestation: 
AMP and ABMP adheres to a set of ethics rules and codes that fully incorporate the 
2003 APA Ethical Principles of Psychologists and Code of Conduct. My signature below 
attests that I have not been convicted of a felony, sanctioned by a professional ethics 
body, licensing board, or any other regulatory body or by any professional or scientific 
organization. 

     2. If you arte a renewing member:
CE Certification: I hereby certify that in the past year I have completed a minimum of 12 hours 
of continuing education specifically in the area of psychopharmacology and related medical 
psychological sciences.