Membership Application

PEPAA memberships are on an annual basis. The membership year runs from July to June. All renewals are due in July of each year. Memberships are per household rather than individual. Please feel free to submit your application electronically or download this application and submit it by regular mail. In either case, your application will not be effective until your dues are received.

Please provide the following contact information:

Name

Street address

Address (cont.)

City

State/Province

Zip/Postal code

Home Phone

E-mail

Choose one of the following options:

Basic Membership   $ 10.00

Blue Membership   $ 25.00

Eagle Membership   $ 50.00

Gold Membership   $100.00

Return to PEPAA Home Page

Name
Street address
Address (cont.)
City
State/Province
Zip/Postal code

Home Phone
E-mail

Basic Membership	$ 10.00
Blue Membership	$ 25.00
Eagle Membership	$ 50.00
Gold Membership	$100.00

Membership Application

Last revised: May 21, 1998