CAPA | Dues and Contributions

General Information

Required Information — please fill in all fields marked with *

I would like to:*

Personal Information

First Name:*

Last Name:*

Email:*

I would like to update my biographical information:*

Work Phone:

Cell Phone:*

Home Phone:

Street Address:* Street Address Line 1

Street Address Line 2

City:*

State/Province:*

Zip/Postal:*

Highest Degree:*

Specify Your Degree:

I am a:*

Name of Institute/School:*

Institute/School Street Address:* Institute/School Street Address Line 1

Institute/School Street Address Line 2

Institute/School City:*

Institute/School State/Province:*

Institute/School Zip/Postal:*

Date Graduated:* Month Day Year

Please email all inquiries to Bonnie Evans at capabevans@gmail.com.

Upload Your CV

Please submit your CV with the form.

Payment Information

My payment preference is:*

Membership levels

Membership levels
$50/year ACTIVE
$100/year SUPPORTING
$150/year SUSTAINING
$250/year PATRON
$500/year ANGEL

Mail check to:

CAPA c/o RC Business Service Inc.
212-80 16th Ave
Bayside, NY 11360

Please consider membership at a higher level.

Your dues and contributions are tax-deductible (CAPA is a 501(c)(3) organization). You can contribute pre-tax money from your IRA and save in two ways - pre-tax money and a deductible contribution. Do what is best for you. You will be listed on our membership site on the basis of your total contribution to CAPA.

Membership Level:*

Please consider membership at a higher level.

Please note that, upon submission of this form, you will automatically be taken to another webpage to complete your payment, which will require you re-confirming your selection of membership level. Your subscription is not complete until you have completed payment through PayPal. Once you have completed payment, your CAPA membership will renew automatically, one year from the payment date. This means that an automatic charge of $0 will be made for annual dues each year to the credit card you provide. You can cancel your subscription at any time by contacting CAPA.

Your dues and contributions are tax deductible as a business expense and the donation is deductible as a Contribution (we are a 501(c)(3) organization). You can contribute pre-tax money from your IRA and save in two ways — pre-tax money and a deductible contribution. Do what is best for you. You will be listed on our membership site on the basis of your total contribution to CAPA. After you press the "PROCEED TO PAYMENT" button below you will be taken to the payment screen. PLEASE NOTE: PayPal is used to process both credit card payments and PayPal payments. You will receive an auto-generated receipt once you've completed the payment process.

My payment preference is:*

Mail check to:

CAPA c/o RC Business Service Inc.
212-80 16th Ave
Bayside, NY 11360

Please write "Contribution" in the memo line on your check.

Your dues and contributions are tax-deductible (CAPA is a 501(c)(3) organization). You can contribute pre-tax money from your IRA and save in two ways - pre-tax money and a deductible contribution. Do what is best for you. You will be listed on our membership site on the basis of your total contribution to CAPA.

Your dues and contributions are tax deductible as a business expense and the donation is deductible as a Contribution (we are a 501(c)(3) organization). You can contribute pre-tax money from your IRA and save in two ways — pre-tax money and a deductible contribution. Do what is best for you. You will be listed on our membership site on the basis of your total contribution to CAPA. After you press the "PROCEED TO PAYMENT" button below you will be taken to the payment screen. PLEASE NOTE: PayPal is used to process both credit card payments and PayPal payments. You will receive an auto-generated receipt once you've completed the payment process.

Please Enter Any Additional Amount You'd Like to Contribute to CAPA: Please Enter the Amount You'd Like to Contribute to CAPA:*

Submission Failed

SUBMIT FORM

PROCEED TO PAYMENT

Pay Dues or Make a Contribution

General Information

Personal Information

Upload Your CV

Payment Information

Membership levels

Mail check to:

Mail check to:

Submission Failed

Payment

Submission Failed

Payment