New Member Registration

*** 2019 – 2020 CPA MEMBERSHIP FORM (.pdf) 
(To save form with content, download the file first, then re-open.)

ORGANIZATIONAL MEMBERSHIPS: Only the ‘Main’ member will be charged. Org #2 & #3 are FREE. Please return to this page to enter their details and register each professional. If your organization would like to purchase more than 5 memberships, contact Rosa Asencio, Treasurer, at rasencio@mtsac.edu)

I. SELECT A MEMBERSHIP OPTION THEN THE FORM BELOW

2019 - 2020 INDIVIDUAL MEMBER - 60.00 USD starts from 07/01/2019 to 06/30/2020

2019-2020 CPA Membership for one professional.

2019 - 2020 ORGANIZATIONAL MEMBERSHIP (MAIN) - 150.00 USD starts from 07/01/2019 to 06/30/2020

2019 2020 Organizational Membership Main subscription

2019 - 2020 ORGANIZATIONAL MEMBER #2 - free starts from 07/01/2019 to 06/30/2020

2019 2020 Organizational Member 2 subscription

2019 - 2020 ORGANIZATIONAL MEMBER #3 - free starts from 07/01/2019 to 06/30/2020

2019 2020 Organizational Member 3 subscription

2019 - 2020 ORGANIZATIONAL MEMBER #4 - 45.00 USD starts from 07/01/2019 to 06/30/2020

2019 2020 Organizational Member 4 subscription

2019 - 2020 ORGANIZATIONAL MEMBER #5 - 45.00 USD starts from 07/01/2019 to 06/30/2020

2019 2020 Organizational Member 5 subscription

COMPLETE ALL FIELDS BELOW (Required fields = *)

First Name*

Last Name*

Job Title*

Organization Name*

Address*

City*

State*

Zip*

Phone*

E-mail* (You will use this to log-in)

Website

Region*

•  Southern CA 
•  Central CA 
•  Northern CA 

What best describes your employer?

•  2-year Community College 
•  4-year Public College/University 
•  4-year Private College/University 
•  Government Agency/Program 
•  K-12 
•  Employer Partner 
•  Other 

Create a Password* (6-24 characters)

Confirm Password

Terms and Conditions*

By becoming a member of the California Placement Association, you agree to be an active member of this professional group; sharing, learning, and developing yourself and others through the Association's events, networking and other resources. You agree to uphold the Mission, Vision, and Values of CPA. 

Check the box below and click 'REGISTER' to complete your transaction via Paypal.

Welcome to CPA! You will be added to the CPA Member Listserv shortly. Don't forget to join our LinkedIn Group, https://www.linkedin.com/groups/4423546

  I agree to the Terms and Conditions.

  I will be paying by Check or Purchase Order. 

PAYING BY CHECK / PURCHASE ORDER INSTRUCTIONS:
1. Print / Save this completed page and INCLUDE A COPY WITH YOUR MAILED PAYMENT
2. Make checks payable to: California Placement Association
3. Send payments to: California Placement Association
c/o  Rosa Asencio
Mt. San Antonio College
1100 North Grand Avenue
Walnut, CA  91789
4. Click Register below to submit your information. Just close the PayPal window that comes up!
If you have any questions, contact Rosa Asencio, Treasurer, at rasencio@mtsac.edu (909) 724-4510

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