International Membership Application

International Membership Application
Annual Membership Dues Variable

Eligible individuals primarily reside outside of the United States, Canada, and associated territories. Individuals may receive a discount off the professional member rate based on the World Bank classification of their home country.

Summary of Membership Cost by World Bank Classification:
- High-income economies: USD 138 (100% of the professional member rate)
- Middle-income economies: USD 103 (75% of the professional member rate)
- Low-income economies: USD 69 (50% of the professional member rate)
Effective January 1, 2025

Please note: Discounts will be taken off the professional member rate, if applicable.

Other membership type rates remain the same regardless of the member's residence. Retroactive refunds are not available. Members have a 30-day grace period after expiration to pay their dues without penalty. On the 31st day, a $25 fee will be applied to their account.

Employment
Employer Name
Title
Work Phone
Please enter a valid phone number.
Work Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Academic and Clinical Profile
Highest Level of Education Completed*
Which populations do you serve?*

Infants and toddlers (birth - 2 yrs old)Young children (2-6 yrs old)School-aged children (6-12 yrs old)Adolescents/Teens (12-18 yrs old)Young adults (19-30 yrs old)
If engaged in clinical practice, please describe your medical setting.

Please select your economy below.*
PAYMENT IS DUE WITHIN 15 DAYS OF APPROVAL.
Total Due: 125.00 USD

Your economy is listed as High Income.
Total Due: 93.75 USD

Your economy is listed as Middle Income.
Total Due: 62.50 USD

Your economy is listed as Low Income.
Should be Empty: