Read the 2009 Membership Letter(pdf)

Membership Type
  2009 Online Membership Application ver.1.0.4
  
Please use this online form to join or renew your membership or submit a paper application available at http://www.pbcplanningcongress.org/Membershipform2009.pdf Our Member Directory and Mailing List are derived from the information on this form. Please fill out the Required Information (*) completely, even if you are a renewing member, to insure that our records are accurate and up to date. All Paid Members receive access to our on-line Membership Directory at our Web Site (www.pbcplanningcongress.org) using an individually assigned password. Dues are still only $40 per year for our standard membership. Full time enrolled students can join for $10 per year.1. Dues can be paid electronically via credit/debit card, check or cash via the Pay Pal link on our website at www.pbcplanningcongress.org or mailed to:
PBC Planning Congress
PO Box 1371
West Palm Beach, FL 33402

First Name*
Middle
Last Name*
Professional Designation(s)
(AICP, PE, ASLA, Esq., PMP, PG, etc.)

Position/Job Title
Department
Agency/Firm
Primary Address:
Address*
City*
State*
ZIP/Postal Code*
Mailing Address (if different from above):
Address*

City*
State*
ZIP/Postal Code*
Work Phone:
Work Fax:
Home Phone:
Cell:
Primary email address*
Secondary email address (where you would ALSO like to receive the PBCPC Newsletter)
Secondary address and secondary email address will NOT be listed in the Directory Data Base.
Agency/Firm Website
Contact Me About Co-sponsoring an Event
Yes No
Suggested Programs for the upcoming Year
I prefer to receive a printed Newsletter via U.S. Mail. Yes No

I prefer NOT to display the following in the PBCPC directory:

employer: address:
work phone: home phone: cell phone:
* Required information

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Palm Beach County Planning Congress
P.O. Box 1371
West Palm Beach, FL 33402

For more information on this website please contact
Webmaster@pbcplanningcongress.org


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