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COPAA Online Membership Application

Membership can be purchased online using Visa©, MasterCard© or Diner's Club©. You will receive acknowledgement of your application and information regarding access to member benefits via email approximately 2 weeks after submission. Thank you.

If you are already a member and wish to renew your memebership please click here to login and renew your membership.

* Indicates required field.
 * Membership Category:  
Attorney Bar Number (required information for Attorney Membership)
If Other, please specify:
 * First Name:
 * Last Name:
 * Billing Name:
(as it appears on your credit card)
 * Billing Address:
Billing Address2:
 * Billing City:
 * Billing State:
 * Billing Zip:
 * Billing Country:
 * Phone: (Area Code + Number)
 * Email Address:
 * Re-enter Email Address:
 *  I certify that I am not employed by, or receive more than 50% of my income from state, intermediate or local education agencies, nor am I an attorney who represents or has represented such an agency within the past five years, nor am I a member of a school board. [School board members wishing to join COPAA should contact membership@copaa.org for more information.]
The applicant understands that any use or reproduction of documents provided on the COPAA Web site without COPAA permission is restricted to the individual’s personal use or for use on behalf of a client to promote advocacy on behalf of a child with a disability. Any use contrary to the Mission and Purpose of COPAA is prohibited. Mass distribution is permitted only with express written consent of COPAA.

  
   
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