ASPMA New Member Application ASPMA New Member Online Application Name * Podiatrist APMA# * Podiatrist Name: * Office * Address * City * State * Zip * Phone * FAX * Years employed * Months Employed * Duties Performed * Clinical Administrative Both Radiology Home Address City State Zip Email Address * How did you hear about Aspma * Checkboxes * I agree The ASPMA reserves the right to revoke and/or refuse membership and certification to anyone not complying with the terms of ethics and code of conduct set forth by the ASPMA and APMA. The ASPMA also reserves the right to reinstate such statuses deemed appropriate by the Board of Directors. Submit If you are human, leave this field blank. Δ The new Membership price is $120.00 Membership is not confirmed until payment is complete, hitting submit will take you to the payment screen. Credit card processing fee of $5.00