Online Membership Renewal

Online Membership Renewal
Thank you for your interest in APRIL membership. As we work on updating our membership online system, please call the APRIL office 501-753-3400 if you experience difficulty or have questions about filing your membership. This form is for online payment and renewal. If you would like to pay offline, please contact Elissa Ellis eellis@april-rural.org

We look forward to learning more about your and your organization, thank you for your continued support of APRIL.
Name

First NameLast Name
Organization:
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Website URL:
More About You:

Please fill out the following information to the best of your ability. We are always seeking new opportunities for making membership more meaningful for you!
What are your top three Independent Living/Disability concerns that you would like to see APRIL address through trainings, advocacy, or peer support?
What are your strengths (or your organization's strengths) that you would like to offer to APRIL to support our efforts or memberships' efforts and needs?
We are continually looking for ways to make membership more meaningful for our members. What ideas do you have for how APRIL can better serve you? What would you like to see us add to our membership benefits to better serve rural communities?
Please select all that apply to you or your organization in order to assist us in better understanding our membership:

We transition individuals from congregate settings to the communityWe provide IL services to persons in rural areasWe serve Indigenous populations, Indian Country, or Reservations in rural areasWe offer transportation as a service in our organization.Another option (please use this space to describe another rural service or priority area that you provide that you feel is important for us to know)
Choose Your Membership:

Please review the different membership options below and choose the one (s) that best fits your description and needs. Please note, some of the memberships have voting in our annual elections, and some do not.
Membership Options
prevnext( X )
non-voting Individual membershipthis is for an individual who is not a consumer or individual with a disability
$25.00 Quantity



non-voting organization Associate Other organizations that do not meet the criteria to be a CIL or SILC organizational member
$100.00 Quantity



Voting: Youth membershipan individual with a disability between the ages of 18-30
$10.00 Quantity



Voting: Individual/consumer An individual with a disability over the age of 30
$25.00 Quantity



Voting: CIL or SILC with a core budget of 1-100,000
$100.00 Quantity



Voting: CIL or SILC with a core budget of 100,001-250,000
$200.00 Quantity



Voting: CIL or SILC with Core Budget of 250,001-500,000
$300.00 Quantity



Voting: CIL or SILC with Core Budget of 500,001-750,000
$400.00 Quantity



Voting: CIL or SILC with Budget of 750,001 +
$500.00 Quantity



Satellite OfficePlease note that additional satellite memberships do not receive their own vote. The vote goes to the main CIL office that is a member.
$25.00 Quantity



Total

$0.00
If Applicable: Satellite Email
example@example.com
If Applicable: Satellite Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

Should be Empty:

Online Membership Renewal

More About You:

Choose Your Membership: