Phila PRRTHS - Membership Application



Membership Application

PLEASE PRINT THIS APPLICATION AND MAIL WITH YOUR MEMBERSHIP CHECK.

(Membership may also be obtained through the Chapter's e-Store on this website)

APPLICATION to:   The Philadelphia Chapter, PRRT&HS for the
Year: ___________________
Name: __________________
Address: __________________________________________________
City: _________________________
State: ________________ Zip Code: ______________
Date: _________________
Phone: (___)_________________    EMAIL Address________________________

Signature:_____________________________________

NOTE: Please mail with check or money order made out to:

The Philadelphia Chapter, PRRT&HS
P.O.Box 663
Wayne, PA 19087-0663

DUES:

Regular Membership           $30.00
Sustaining Membership       $40.00
Contributing Membership    $50.00 or more.

Business Membership          $40.00 or more.

This rate is for dues paid for business benefit or those paid by business/company checks.