PLMEC Member Application

Member Application

Thank you for your interest in joining the PLMEC. Feel free to save the application at any point along the way.
As an applicant for the PLMEC, please indicate that you understand each of the following:*

The applicant agrees to the PLMEC values on www.plmec.orgThe applicant agrees to the PLMEC criteria on www.plmec.orgThe applicant agrees to pay a one time $100 application feeThe applicant agrees that, upon acceptance, the full list of internal policies will be provided. At that time, the applicant may make the final decision to continue with the membership.

Basic Organization Information
Organization Name*
Organization EIN*
Organization Type*

Sole proprietorshipPartnershipS-CorpC-Corp501(c)(3)501(c)(6)Other
Your Name*

First NameLast Name
Your Email*
example@example.com
Your Role/Title*
Organization PHYSICAL Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business Phone Number*
Please enter a valid phone number.
Website address*

Organization Information
What services does your organization provide?*

Website DesignSEOAdWords Campaign ManagementGraphic TemplatesWebsite Content CreationSocial Media Content CreationPhysical Advertising Products & DesignOther
Number of Pro-Life Organizations do you have on active retainer or are actively your customers?*
These are organizations that are actively paying you that you are actively serving.
How long has this organization existed:*
How long has this organization served pro-life clients?*
Please describe your organization's mission and vision. How does it align with the pro-life marketing ethics?*

Your Organization's Pro-Life Work
Describe a specific marketing campaign, project, or initiative your organization has led or been a part of that promote a pro-life organization.*
Describe a second example of a specific marketing campaign, project, or initiative your organization has led or been a part of that promote a pro-life organization.*
Client References
Name of Current Pro-Life Client of More than 1 Year*
Phone Number of Current Client (named above)*
Please enter a valid phone number.
Name of Previous (not current) Pro-Life Client*
If you have no previous clients who are pro-life, add a second CURRENT client
Phone Number of Previous Client (named above)*
Please enter a valid phone number. If you have no previous clients who are pro-life, add a second CURRENT client

Input for the PLMEC
What are the most critical ethical issues facing the marketing industry today, especially from a pro-life perspective, in your opinion?*
Are there any potential conflicts of interest that could arise as a result of your organization joining the Pro-Life Marketing Ethics Committee? If so, how do you plan to manage them?*

Specific Policy Questions
Explain your viewpoint on when a pregnancy center should disclose that they do not perform or refer for abortions?*
Has your organization, or a representative of your organization, sent a cease and desist letter to any other pro-life organizations in the last five years? If so, please include the name of each recipient and the approximate dates.*
Has your organization, or a representative of your organization, been party to any legal action against other pro-life organizations in the last five years? If so, please include the defendant and the approximate dates the action was filed.*
based on the context and outcome.
If applicable, what is your customer's average cost per client abortion-minded, abortion-determined contacts in rural and urban markets? You may provide a range for each type of market. Give explanations as needed:*

Application Fee*

Application FeeThis is a one time non-refundable fee to process your application.

$100.00 Quantity

Total

$0.00

By signing below, you agree to apply for a PLMEC membership with a $100 non-refundable application fee. You further-more understand that the process of inclusion can take up to 90-days and may require additional information.*

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Member Application