AACN Application for Affiliate Membership
Application for Affiliate Membership*
First Name:
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Institutional Affiliation (if any):
Private Practice: Yes No
Address for Contact and Journal Delivery:
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You can pay your annual dues of $75 online or send a check to:
 American Academy of Clinical Neuropsychology
 Department of Psychiatry (F6246, MCHC6)
 University of Michigan Health System
 1500 East Medical Center Drive
 Ann Arbor, MI 48109-5295

* Affiliate membership benefits include:

  • Subscription to The Clinical Neuropsychologist
  • Access to the AACN Clinical Discussion Email List
  • Discounted fees to meetings and workshops

Affiliate membership does not include listing in the AACN directory or any professional status, voting activities, or review or examination activities.