The Pankey Institute

Membership Enrollment

Joining the L.D. Pankey Alumni Association demonstrates your dedication to excellence. You will receive many benefits, including exclusive educational resources, unique interactive training, and enhanced programming to support your commitment to learning.

Step 1: Provide Personal Information

First Name: Middle/Initial: Last Name: Practice Name: Gender: Birth Date: / / Address: City: Business Phone: Email: Cell Phone: Fax: Web Site:

IMPORTANT: To ensure your safety for online payments, our credit card processing system uses AVS (Address Verification System) to ensure the billing address you have provided matches the billing address of your credit card. The state or province you provide must be an exact match to your credit card billing information. Please follow the instructions below for both US and International members.

For US online payments only - please use the dropdown below for "State" to select the appropriate state.

For INTERNATIONAL online payments - do NOT use the STATE dropdown and instead type your state or province information matching your credit card billing information in the free-form text box below.

State: International State/Province Country: Zip Code: -

Step 2: Select Your Membership Option

Select Your Membership Option:

For additional information on these options, please visit our Join the Alumni Association page.

Step 3: Choose Convenience

As a convenience for members, Pankey has launched a Membership Auto Renewal program. When you enroll in the program, we’ll charge you on January 1 of each year. By enrolling, you will ensure uninterrupted membership benefits and help save Institute resources. You will receive a reminder approximately two months before the Membership Auto Renewal. If you wish to leave the program at any time, you can simply call 305.428.5500 by December 15 of each year.

Auto Renew: Check this box to auto renew your membership. Opt-out at any time!

Membership Enrollment

Step 1: Provide Personal Information

Step 2: Select Your Membership Option

Step 3: Choose Convenience

Step 4: Enter a Round Up