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Membership Type *	CA PPG Guest Membership (Free lifetime subscription) This is a free membership for those that work at a practice that has CA PPG members but are not eligible to be members because they are not PT's or PTA's (e.g. office managers and aides). CA PPG Non-Member Guest (Free lifetime subscription) This membership is for vendors, PT's, PTA's, that are eligible to be CA PPG members but choose not to join. Note, if you are a PT and not a CPPSIG member, you CANNOT enjoy the discount meeting and con-ed rates simply because you work with a CA PPG member. Pony up and join for the year. It is only $75 for a new membership!
Payment System *	Authorize AIM Credit card payment
Your Name * Your First & Last name
Your E-Mail Address * A confirmation email will be sent to you at this address
Choose a Login Name (User ID) * It must be 4 or more characters in length and may only contain small letters, numbers, and the underscore '_'
Choose a Password * Must be 4 or more characters
Confirm your password * Enter password again
APTA Number * You must be an APTA member to join the CA Private Practice Group
Phone Ex.555-555-1234