AA/SA
- Phoenix -
The
 Author/Speaker
Alliance

"Local Authors and Entrepreneurs
as Valued Speakers"


Bringing  Together
Local Author/ Speakers
and Local Organizations
Arizona Author/Speaker Alliance
"Local authors and entrepreneurs as valued speakers"
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This page is your Membership Application. Once you have signed up and paid your first year's FOUNDING CHARTER MEMBER dues you will receive membership confirmation and immediate, password-protected access to the Members Only section of this website, where you will find many educational, informational and profitable items that are exclusive to active, paid-up AA/SA members.

When the site "goes live" you will be able to add to, modify, or delete information about yourself -- so you can always keep your information up to date.  OK? Now complete the application and take care of dues payment.



Founding Charter Membership Application
Prefix (Mr. Ms., Dr., etc.)::
First Name:
Middle Initial:
Last Name:
Credentials (MD, PHD, etc.):
Email:
Phone Number:
Company (if applicable):
Contact Address 1:
Suite/Apt. #:
City:
State:
Postal Code:
Web Site Address (URL):
Publications (include ISBNs, retail prices:
Speaking Topics (include speech titles):
Brief biography (250 words maximum)::
Click on the SEND button above, then return to this screen (click on "Back" on the Thank You page) and then

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