Application Process

STEP 1: FILL OUT APPLICATION

Fill out all fields in the following form to the best of your knowledge. Please note, this information will be shared with out membership committee.

STEP 2: PAY DUES

After finishing this form, continue to make your first year’s dues of $500. If your application is denied for any reason you will be refunded the full $500.

STEP 3: AWAIT APPROVAL

Our membership committee will review your application. If you’re approved, you’ll receive an email from us with instructions to finalize your membership. If you have any questions, please contact vendorsupport@apdahealth.com.

 

Payment Due at this Time: