1. Online payments for Association of Texas Midwives services are processed through PayPal. In order to make payments through the online payment system, you must have a valid PayPal account. PayPal accepts nearly all forms of payment and Paypal accounts are free. Please visit PayPal.com to create a new account.
   Note: When paying for course modules online, one $25 convenience fee will be added when checking out.
    
2. By-Mail payments can also be done using this form. Simply complete the form, and click the "Pay By Mail" button at the bottom of the form. Addresses and other contact information for ATM can be found here.

Step 1: Enter Information For The Individual This Payment Should Apply To

Before you begin, we need to know who you are. This information will ensure that all payments are processed in a timely manner and are applied to the correct individual.

Name	Email Address
Current Address City State Zip
Are You an ATM Member?
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Step 2: Select Service Options

Hold the "CTRL" key on the keyboard and click to select multiple options.

Create a New Membership Pay New/Renewal Membership Fee Pay Application Fee Pay for Course Modules Pay Exam Re-take Fee Make Any Other Payment to ATM Grading Corrections Fee

Step 3: Select the Items You Would Like to Purchase

New Membership Fees / Renewal Fees If you have not yet submitted a membership application to ATM, please visit this page to begin that process before paying for the membership fee. $60 Associate Membership $60 Retired Midwife Membership $30 Student Membership $30 Supporting/Consumer Membership These membership fees are eligible for prorated amounts. i.e. January memberships would be full price while        memberships starting in July would be half price. For a full list of prorates, please visit the Membership Application page. Check the box below to use the prorated amounts. Do not check this box if you are renewing your membership for the new year. Enable Prorated Membership Pricing

Application Fee
	$150	Application Fee If you have not yet submitted a course application to ATM, please visit this page to begin that process before paying for the application fee.

Choose a price for the modules. This price will be based on when you began the ATM midwifery program. If you have any questions about which is the price you should pay, please contact the ATM office.
$875  $725  $650 

Course Modules
	$650	Independant Study Module - Introduction to Midwifery*
	$650	Anatomy and Physiology for Midwives*
	$650	The Prenatal Period*
	$650	Labor and Delivery I*
	$650	Labor and Delivery II*
	$650	Postpartum and Newborn Care*
	$650	Advanced Skills*
	$4550	All 7 Modules

Course Modules
	$725	Independant Study Module - Introduction to Midwifery*
	$725	Anatomy and Physiology for Midwives*
	$725	The Antepartum Period*
	$725	The Normal Intrapartum*
	$725	Complications of the Intrapartum*
	$725	Postpartum and Newborn*
	$725	Advanced Skills*
	$5,075	All 7 Modules

Course Modules
	$875	Introduction to Midwifery*
	$875	Anatomy and Physiology for Midwives*
	$875	The Antepartum Period I*
	$875	The Normal Intrapartum*
	$875	The Antepartum Period II*
	$875	Complications of the Intrapartum*
	$875	Postpartum and Newborn*
	$875	Advanced Skills*
	$7,000	All 8 Modules

* Service charge of $25 will be added for online payment. If multiple modules
are purchased, only 1 $25 fee will be assessed.

Re-take Exam Fee
	$50	Re-take Exam Fee
		Which Exam?

Grading Corrections Fee
	$50	Grading Corrections Fee

Miscellaneous Payment
	Amount  $ .
	What is the Purpose of This Payment? Please describe the purpose of this payment in 200 letters or less.

Step 4: Submit Your Order for Review