Affiliate Membership Application

Apply for Affiliate Membership

Affiliate Membership is open to individuals who have an interest in the field of human-animal interactions, but who are not conducting scholarly research.

Annual Affiliate Member Fee: $150 (US)

User Information

Username

Password

Passwords should contain at least 1 letter and 1 number; can contain the @ # $ ^ * ! - characters; be at least 6 characters in length; not be the word PASSWORD; and not be the same as your username.

Confirm Password

Name

First Name *

Last Name *

Organization/Institution

Department

Country

Address

Address Line 1

Address Line 2

Address Line 3

City

State/Province

Select from the dropdown menu (If no dropdown menu appears and this does not apply, please enter "n/a")

Postal Code

Phone

+ Country Code

Research Interests

Affiliate Membership Application

Apply for Affiliate Membership

User Information

Terms & Conditions

Donation Refund Policy

Automated Recurring Donation Cancellation

Follow Us