American Purchasing Society

Member Name *:

Member Email *: Present or Former Company Name: Industry * Company Division: Member Title: Member Title Code: Member Country *: Member Address Line 1 *: Member Address Line 2: Member City *:

Member State *:

Member Zip/Postal Code *: Member Phone Number *: Member Fax Number:

Member Username *: Member Password *: Confirm Password *:

Secret Question *: Secret Answer *: Confirm Secret Answer *:

The correct membership type and cost have been chosen based on your country selection.
Note that there is a one time setup fee included in this price Membership Type

Would you like to purchase the optional Membership Plaque? IL residents, please add $6.52 tax for a total of $85.52. This will appear automatically in the cart during checkout. Plaque Amount: