PREP/APRA - Join PREP/APRA

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PREP/APRA Membership Application Form

Dues are $35 per calendar year. Join or renew by completing this form. There are two membership types:

Individual membership moves with you if you change jobs.
Organization membership remains with your employer.

First Name*
Last Name*
Organization*
Title*
Address 1*
Address 2
City*
State*
Zip*
Phone*
Fax number
Email*
Nickname
PREP/APRA may take or use my photo on its website or in other marketing materials.
	Yes No
Are you a member of APRA?
	Yes No
Membership Type
	Individual Membership (would move with you if you changed jobs) Organizational Membership (remains with your employer should you leave this job)
Organization Type
	Arts/Cultural Consultant/Vendor Environmental/Conservation Healthcare/Medical Higher Education Historic Preservation Primary Education Secondary Education Social/Community Service
Alumni/development database software used (Check all that apply.)
	Access Banner BSR/Advance Datatel/Benefactor Millennium PeopleSoft Raisers Edge Other

Number of Advancement employees at your organization*
What year did you enter the field of prospect research?*
Areas of Interest(Check all that apply.)
	Communications/Publicity Conference Hosting Fall/Spring Conference Program Membership/Recruitment
While PREP/APRA does not yet have a formal mentoring program, are you interested in
	Serving as a mentor Being matched to a mentor
Do you subscribe to PRSPCT-L?
	Yes No
Payment type
Choose Pay with PayPal to pay with an organization or individual credit card. Choose Pay by Check to pay with an organization or personal check.
	Organization or individual payment via PayPal Organization or personal check mailed with copy of form

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