EIPA New Member Payment Form

You have been approved for membership for EIPA!

Please complete payment and follow the steps below to sign up for your online account.

New EIPA Membership

This is a one-time process for setting up your online account as a new member. Please follow the instructions below.

  • Select “Sign Up for Your Online Account” below and follow the instructions.


After you have created your account, you will receive (3) emails from EIPA: 

  • A Welcome to Early Intervention Providers Association (EIPA) email

  • An Email Verification Email (this must be verified to activate your account)

  • A Welcome to New EIPA Membership email


Once you have received confirmation of your payment , you are ready to go! To access your members-only portal, use the login link found in your Welcome email, or, click “Login” on the www.eipa-pa.org website. A new set of menu options will appear under “Account” allowing you to update your profile, view membership, meeting minutes, resources and more.

For Check Payments:

Print out the form below and complete

Make check payable to:  EIPA

Dues Structure for check payments

Mail your printed form and check to:

Jocelyn Debick, EIPA Treasurer
PO Box 41
Forbes Road, PA  15633

For Credit Card Payments:

Please make payment using matching organizational details at this Credit Card Payment Link

There will be a small charge added to credit card payments.