HAPL Membership Application

Membership Type

Please read the qualifications for membership type before selecting. Active Life membership is only for those over 65 who have retired.
Membership Type

User Information

Username
Allowed characters are letters, digits, at sign (@), period (.), plus sign (+), dash (-), and underscore (_).
Password

First Name
Middle Name
Last Name
Display Name / Nickname
Email
DOB
Gender
Mobile Phone
Spouse

Terms & Conditions

Company Information

Company
Company URL
Position Title
Address
City
State
Zip Code
Work Phone

Membership Information

Are you a member of AAPL?
Opt in to share information with AAPL?
Sponsor Name 1 (New members MUST type in sponsor names unless you are an RPL or CPL)
Sponsor Name 2 (New members MUST type in sponsor names unless you are an RPL or CPL)
Primary Area of Activity
Type of Practice
Employment Status
Professional Certifications
Certifications (Sponsor forms are not necessary if you are a CPL or RPL in good standing with AAPL)
Years of Practice as a Landman

Section 4. Payment Method

Payment Method

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