Member Registration | Publishing Professionals Network

Thank you for your interest in becoming or renewing your PPN membership! Please fill out the details below. If you are paying with a credit card, you’ll be taken to PayPal to process your payment. (Note: You do not need to have a PayPal account to process your payment.) Required fields are indicated with an asterisk.

MEMBERSHIP REGISTRATION

This field is for validation purposes and should be left unchanged.

Name(Required)

First Last

Membership Recipient Company

* Please fill in if you register as a sponsoring company. You MUST use a sponsoring company email to be a free member.

Membership Recipient Email(Required)

Member Phone

Physical Address(Required)

Street Address Address Line 2 City State ZIP Code

How Did You Learn About PPN?

Membership Level(Required)

Individual Member

Individual Sponsor

Company Sponsor

Sponsoring Company (employee) [free]

Note that sponsoring company employees MUST use their corresponding work email address.

List

Name.First

Name.Last

Email.Address

Payment Method

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