SILURIANS PRESS CLUB NEW MEMBER APPLICATION

Silurians Membership Application Form
To the Membership Committee:

I hereby apply for admission as an Active Member (9 years journalistic service) of the Silurians Press Club. If elected, I agree to abide by the constitution and by-laws of the organization.
Date

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Present Affiliation*
Position and dates (if applicable)
Previous Media Affiliation
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Prior Media Affiliation
Position and dates

Please submit a two- or three-paragraph bio highlighting your journalism experience suitable for posting on the 'New Members' section of the Silurians website.
By entering my initials, I confirm the above information is accurate.
Questions? Please email Membership Chair Suzanne Charlé at suzcharle@gmail.com.

Payment

Due$75 [annual dues] + $25 [one-time initiation fee]

$100.00

Total

$0.00

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