Constituent Organization Membership Support Application
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Constituent Organization Name
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President's Name
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Main Contact Name
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Contact Phone Number
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Contact e-mail Address
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Do you have a membership committee?
Yes
No
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Is your organization managed by an external company?
Yes
No
If yes, how much do you pay yearly to the external management company?
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What is your current membership total?
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How many total PAs are eligible for membership?
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Membership Percentage
(membership total divided by total eligible PAs multiplied by 100)
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Last date conducted membership campaign?
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Do you have money allocated for recruiting members?
Yes
No
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If yes, approximate % of total yearly budget allocated to member recruitment?
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Do you have anniversary billing?
Yes
No
In return for financial support, AAPA requires that you track the success of your campaign and report back data on your response rates to AAPA within 40 days of the mailing date.
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I agree to meet this expection in return for AAPA financial support. If no why not?
Yes
No
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Do you currently track your membership campaigns?
Yes
No
If yes, do you use source codes to track membership campaigns?
Yes
No
If no, how do you track the success or failure of your membership campaigns?
For questions or further assistance, please contact Melissa Cwiertniewicz, Manager, Membership Marketing and Promotion at
mcwiertniewicz@aapa.org
or 703/836-2272 ext. 3306.
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Indicates Response Required