Buffalo Niagara PCC - Membership

PCC MEMBERSHIP APPLICATION
First Name *
Last Name *
Business/Organization *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone *
E-mail *
Additional Names for tier 2-4
Additional corresponding e-mails for tier 2-4
Become a Member (billed annually) *
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Tier 1 Membership $ 25.00

Tier 2 Membership $ 75.00

Tier 3 Membership $ 125.00

Student Membership $ 10.00

Total $ 0.00
*Monthly membership meeting notices will be sent to you approximately 2-4 weeks prior to each event. PCC information is always available at our web site: www.buffaloniagarapcc.org, and at the national PCC web site: www.usps.com/nationalpcc.
There will continue to be a fee per person for the monthly meetings to cover the cost of the luncheon.
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PCC MEMBERSHIP APPLICATION