Membership Application & Renewal for Professionals

Contact Information

Name (First Last)*

Home Address City State Zip Code

Home Telephone Home Email

I would like to join a committee Programs Membership Marketing & Website

Employment Information

Employer* Title*

Business Address* City* State* Zip Code*

Business Telephone* Business FAX*

Business Email* Website

Miscellaneous

Mailing Address to Use* ---Business AddressHome Address Email Address to Use* ---Business E-mailHome E-mail

How did you find out about Baltimore PR Council?*

Referring Member, if applicable

Payment Information

Membership Level* ---Professional Application, $75 annuallyProfessional Renewal, $75 annually Payment Method* ---CheckCredit Card

*required

Payments by check (made payable to Baltimore Public Relations Council) must be mailed with a completed copy of this form to: Baltimore Public Relations Council, 2331 Emory Rd., Reisterstown, MD 21136. Please click the submit button below to process your application.

Payments by credit card can be made after clicking the submit button below. Click on the "Buy Now" button that appears after your form has been submitted successfully.