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2024 Membership Application

Applicant Name *

Application Date (MM/DD/YY) *

Title

Company / Organization *

Address

City, State, ZIP

Email *

Phone Number (Office, Mobile, or Home) *

Type of Business *

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 *

Payment Method *

Online
Check

** Please Visit https://bit.ly/355dYcG to Securely Pay Online. *** Please Mail To: GCPRC, PO Box 17384, West Palm Beach, FL 33416.

95804

Who We Are

The Gold Coast PR Council, Inc. is an independent group of PR, marketing and communications professionals from Palm Beach, Broward, Martin and Dade counties.

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