CPSA OnLIne Membership Application

LIGHTFAST WORKBOOK PAY-ON-LINE

Available to Members Only

FOR ONLINE PAYMENT

1. Please complete the following form and click the SUBMIT button which will send your information to CPSA.
2. On the next page, please click Add to Cart for each item you wish to purchase. You will have a chance to "View Cart" before your final Check Out. The payment section takes place on the secure PayPal site. You will be returned to the CPSA Website when your purchase is completed.
3. If you are not the member, please enter your name and contact information in the PURCHASER INFO box. Member information goes in next section.

PURCHASER INFO (if different from Member)
If you are paying for someone else, enter your name and contact information here. Member info should be entered below.

Purchaser's Name:
Address:
City/State/Zip:
Phone:
Email:

WORKBOOK PRICING
$15.00 for U. S. Residents (+$1.50 processing fee)
$18.00 for Non U.S. Residents (+ $1.50 processing fee)

Please be sure your name as listed below is the name used for your CPSA Membership as it will be checked before the Workbook is mailed.

First/Middle Name* Last Name*

Mailing Address*

City* State* Zip Code*

Phone* include area code; if no phone, write "none"

Email* (if you do not wish to include your email address, please write "none" in the blank; this is a required field for the form.)

(This will send your current information to CPSA.)

After you submit this information, you will see the CPSA Shopping List. Clicking any "Add to Cart" button takes you directly to the PayPal Shopping Cart. From there you can return to the CPSA Shopping List by selecting the "Continue Shopping" button. When you are ready to complete your purchase, click "Proceed to Checkout" on the PayPal Shopping Cart. You will then enter your payment information on the secure PayPal site. You will be returned to the CPSA Website when your purchase is completed.

Feb 2007