Membership Form

Fill-out the online form below, click [submit], and pay your membership fees through Paypal.






Do you have skills, time or other resources you would be willing to contribute to the Chapter?








How do you prefer to receive information or other communications?



Select Individual or Household Membership

Includes ~ Admission to the Annual Awareness Conference AND Discounts at Selected Maine Chapter APDA Events
Includes ~ Same as Individual Membership plus one additional admission to the Annual Parkinson's Awareness Conference

Once you submit the form, you will be directed to Paypal to complete your membership.