Membership Form

ADPA Membership Form

Register & submit payment here to join.

* = Required

Business Details

Select Membership Level and Pay


Terms & Conditions Statement: Data submitted through this form will be used for the purpose of creating your directory listing. Please see our Privacy Policy for more information on how we protect and manage your data.

Register new members & accept payments right from your website! When a new member joins via this form, a draft listing is automatically created in your directory.  Site admin publishes the record once it is complete and payment has been received.

Install Mailchimp addon to collect new member email during registration.

Upgrade to WC Payments plugin for a choice of payment gateways.