Syracuse Press Club Membership Application
First Name
*
Last Name
*
Organization
*
e-mail
*
Phone
Address 1
Address 2
City/Town
State
Zip
Membership Type
*
New Member
Renewal
Payment Form
*
Check
Charge
Paying by check? the choose below
Membership type: Paying by check
Active Member $25
Active Member Corp $150
Student $15
Membership type paying by check
Associate Member $25
Associate Member Corp $150
Make checks Payable to Syracuse Press Club and mail to P.O. Box 5424 Syracuse, NY 13220-5424
Credit Card? then click below to be taken to PayPal
Membership type: Paying by Credit Card
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( X )
Active Member
$25.00
$
25.00
Active Member (Corp)
$150.00
$
150.00
Associate Member
$25.00
$
25.00
Associate Member (Corp)
$150.00
$
150.00
Student Member
$15.00
$
15.00
Total
$0.00
$
0.00
Submit
Should be Empty: