PROFESSIONAL ADVOCACY ASSOCIATION: Contract Lobbyist Member Registration

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Overview

Before you begin, are an existing member? Please enter your current login information:
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Registration Form

*First Name:

*Last Name:

Company:

*Address:

Address 2:

*City/St/Zip:

*Phone:

Fax:

Mobile Phone:

*Email:

*Password:

Services:

Specialties:

Bio:

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Payment Options

	Bill me at the above address. Payment should be made within 30 days from date of billing in order for membership to remain active.
	Charge the $1,200 dues for Regular Membership to my Credit Card