• News & Events
  • Membership
  • About BIAPA
  • Video Library
  • Support Us
  • Contact

Become A Member

BIAPA members support the Associationís mission. Please consider becoming a member today. (If a new member joins after January 1, membership will be valid through the following year June 30)

If you cannot afford basic membership, please contact BIAPA for a scholarship application.

* required information
  
Registration Information
First Name:*
Last Name:*
Email:*
Organization:
Job Title:
Address Line 1:*
Address Line 2:
City:*
State:*
ZIP/Postal Code:*
Phone:
I Am: Person with brain injury
Family member
Friend
Professional
State or other government employee
Date of Brain Injury:(mm/dd/yyyy)
Create Username and Password
Username:*
Password:*
Verify password:*
Security Question:*
Security Answer:*
Annual Membership Fees
FREE 1st YEAR MEMBERSHIP
If you or your family memberís brain injury occurred during the last 12 months, indicate the date of injury and you will receive your 1st year of Membership free
 
Basic
Benefits: BIAPA newsletter at least 3 times per year, information on resource materials and support group locations, reduced cost registration to Annual Conference, and an invitation to the Annual Meeting
$25.00
Professional
Benefits: All the BASIC BENEFITS plus special advertising, mailings, and invitations to professional seminars.
$50.00
Sponsor
Benefits: All the BASIC and PROFESSIONAL BENEFITS plus a reception prior to the Annual Meeting.
$500.00
Benefactor
Benefits: All the SPONSOR BENEFITS plus a reception prior to the Annual Conference
$1,000.00
Limited Income
Benefits: Memebers will limited resources pay as much as they can, and still recieve all the BASIC BENEFITS. No one will be denied Membership due to limited resources.

Restrictions
$5.00
Corporate
Corporate membership includes all the BASIC amd PROFESSIONAL BENEFITS except the right to vote or serve on the Board. Corporate members designate up to two individuals to recieve mailings(please provide information below).
$200.00
Donation
Amount:$



950 Walnut Bottom Road, Suite 15-229, Carlisle, PA      Phone 1-866-635-7097      Fax 1-717-692-5567
About Brain Injury | Programs | Resources | Advocacy | Research | Prevention
Privacy Policy | Contact Us | Disclaimers | Site Map