Scholarship Donations

Amount*
Total
$0.00
Honoree or brief reason for donation
Billing Information*
First Last
How would you like to pay for your donation?
- Credit/Debit Card
- Check
Credit Card

MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Billing Email*
Billing Phone*
Billing Zip
Pay by check
Upon submission, you will receive an email confirmation. Please print that confirmation and mail it with your registration check, made out to, American Academy of Psychotherapists, to the following address:

230 Washington Avenue Extension, Suite 101
Albany, NY 12203
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Pay by check