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PSA Member Payment Form

NOTE: This form is for paying for multiple members at one time.
If you are just paying your own dues, please go to the Member Account page and select “pay dues”.

2025 Membership Dues Payment

PSA Member Information

Date

2025 PSA Membership Fee *

Member 1 [$200]

Member 2 [$200]

Member 1

PSA Member 1 First Name *

First

PSA Member 1 Last Name *

Last

PSA Member 1 Email *

Member 2

PSA Member 2 First Name *

First

PSA Member 2 Last Name *

Last

PSA Member 2 Email *

Accounts Payable Information

Firm

Payer First Name

Payer Last Name

Payer Email

Credit Card

Total

$

If you are human, leave this field blank.

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