Renew Membership

Renew Your Membership

Join NIPPA

Member Dues

Full - $ 185.00

- none -

Please renew my membership automatically.

Discounted Memberships

Early Professional (first year post-graduation) - $ 75.00

Candidate - $ 75.00

- none -

Additional Donation for NIP Scholarship Fund.

Total Amount

I want to contribute this amount every year

Name and Address

First Name *

Last Name *

Email (to be used for NIPPA mailings and for the NIPPA listserv)

Phone *

Please provide your mailing address where you will receive the print directory and Psychoanalytic Perspectives

Street Address *

City *

Zip Code *

Country *

State/Province *

My billing address is the same as above

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province

Postal Code