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PSLA Membership Information Form

Type of Membership

Zip

Fax

Web Address



Please list the name(s) of the persons who should received PSLA Member Services communications.

Use a separate form for additional names if needed.

Email

Email

Email

Would you like your contact information to be published on our website?

Would you like to serve on a Committee?

Would you be interested in serving on the Board when a vacancy occurs?

Please call Debbie Smailer at 610-594-1340, ext. 103 or email memberservices@pasla.org if you have any questions.