Renew your membership.

This form is for existing members to renew membership.

Fill out the online renewal form below to renew your membership for the upcoming year.

For Check Payments:

Complete the form below and submit. Please print receipt and include in an envelope with your check payable to: EIPA

Mail your printed form and check to:

Early Intervention Providers Association

PO Box 172114

Philadelphia, PA 19176-2114

‍ ‍Dues Structure

For Credit Card Payments:

You will be redirected to a payment link

Renewal Application