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2024 Membership Application
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Applicant Name
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Application Date (MM/DD/YY)
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Title
Company / Organization
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Address
City, State, ZIP
Email
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Phone Number (Office, Mobile, or Home)
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Type of Business
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Corporate
PR Agency
Non-Profit
Sole Practitioner
Other
YES! I want to join GCPRC at the following level and understand this membership is valid from January 1 through December 31, 2024:
*
Individual Member – $50
Premier Individual – $100
Group Member – $150
** Please visit https://www.goldcoastprcouncil.com/membership/ for a description of each membership category.
Willing to Serve on the following GCPRC Committee(s):
Bernays Awards
Membership
Sponsorship
Programming
Additional Group Members:
** Group Membership covers up to 4 people. Applicant is the designated member.
Payment Amount
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Payment Method
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Online
Check
** Please Visit https://bit.ly/355dYcG to Securely Pay Online. *** Please Mail To: GCPRC, PO Box 17384, West Palm Beach, FL 33416.
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79927