Membership Application – Publishers Association of Los Angeles

Please fill out the form below, or if you prefer, you may download and fill out this application and email it to membership@pa-la.org

Yes, I would like to
- Become a member of PALA
- Renew my membership with PALA
I am applying for
- Individual membership — $40/year for new membership, $40/year for renewal
- Corporate membership — $100/year (3 – 5 employees from the same company)
- Sponsor membership — $250/year (contact PALA for explanation of benefits)
Name
First Last
Company Name
1. Add'l Member Name (for corp. membership):
1. Email
2. Add'l Member Name (for corp. membership):
2. Email
3. Add'l Member Name (for corp. membership):
3. Email
Full Address
Street Address Address Line 2 City State ZIP Code
Phone
Email*
Website
Number of titles in print
Services offered
Dues*
- Paying Online
- Paying by check via mail