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WPA Membership Application

The Western Publishing Association, now in its 61st year, provides the publishing community with educational events, including the all-new WPA Media Publishing Conference 3.0 on April 27, 2012 at Westin LAX. Other benefits include seminars, publishing roundtables, daily Media News, WPA Social Media Groups, Online Career and Recruitment Center, Industry and Association links, Annual MAGGIE competition, MAGGIE College Initiative, Membership Directory, Online Resource Guide, and more!

*(Must enter more than one category to qualify.)
** (Must enter more than two categories to qualify for second MAGGIE discount.)

Please complete all contact information. This is a secure form.

* Required Field

Full Name*
Title*
Company Name*
Address*
City*
State* Zip*
Telephone* Fax
E-Mail*

Choose one of the following:
 New Membership
 Membership Renewal

Choose your company description:
 Publisher (Pls indicate Publication titles and Trade or Consumer in box below.)

 Vendor (Pls provide short company description below.)

 Consultant (Pls describe services below.)

Company Membership (Choose appropriate rate, based on total number of employees in company.)
 2-5 Employees $264
 6-15 Employees $374
 16-25 Employees $525
 26-35 Employees $645
 36-49 Employees $865
 50+ Employees $925
 New Company Startup (in 2010) $155
 Freelance Only $130
 Student Only $25

Method of Payment*
 Visa Mastercard American Express

Card No.* Expire*
Security No.*

Total Amount*

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