MEMBERSHIP APPLICATION

My membership application follows, payment is in progress. 
My membership application follows, purchasing will be sending a purchase order. 
My membership application follows, please send an invoice. 
Your Name:
Title:
Company:
Street:
City:
State:
Zip:
Country:
Phone:
Fax:
Email:(required)

Desired Membership Level

Please indicate desired level of membership. Make checks payable to PCCA. 
 
Executive $5000
Associate $2500
Affiliate $750 (Start up companies only)
Individual $100

Summary of Membership Levels
 
 
Executive
Associate
Affiliate
Individual
Representatives
2
2
1
1
Board of Directors
7
5
0
0
Chair Committees
Yes
No
No
No
Voting Rights:        
Association
Yes
Yes
No 
No
Committee
Yes
Yes
Yes
No
Informational Mailings
Yes
Yes
Yes
Yes
Participate in General Meetings
Yes
Yes
Yes
Yes
         

 
 
 
 
 
 
 
 
 
 
 

For more information on rights and privileges of each membership level; see "Membership and Dues"

Backup Member (only Executive and Associate Levels)
 
Your Name: 
Title:
Company:
Street:
City:
State:
Zip:
Country:
Phone:
Fax:
Email:

Administrative Offices
P.O. Box 680, Hood River, OR 97031
voice 1-541-490-5140, fax 1-413-410-8447