3899 North Front St., Harrisburg, Pa. 17110 · Phone: (717) 703-3000 · www.panewsmedia.org
COLLEGE NEWSPAPER
MEMBERSHIP APPLICATION
Date of Application: ______________________________
Name of School: ___________________________________________________________
School Address: ____________________________________________________________________________________________________________
City: _____________________________________________ State: __________ Zip: ________________ County: _______________________
Main Phone: _____________________________________________ Main Fax: _____________________________________________________
Newspaper Name: _________________________________________________________________________________________________________
Advisor: ___________________________________________________________________________________________________________________
Advisor Phone: ___________________________________________ Email Address: ________________________________________________
Newspaper Address: _______________________________________________________________________________________________________
City: _____________________________________________ State: __________ Zip: ________________ County: _______________________
Main Phone: _____________________________________________ Main Fax: _____________________________________________________
Newspaper Website: ________________________________________________________________________________________________________
Newspaper Email Address: __________________________________________________________________________________________________
Frequency of Publication: Daily (four or more times per week) Weekly (three times or less per week)
Other: __________________________________________________________________
Publication Day(s): Monday Tuesday Wednesday Thursday Friday Saturday Sunday
ANNUAL DUES:
Daily: $200 Non-Daily: $100
NOTE: Each member is required to provide printed editions to the following:
1. PNA’s clipping service: PNA Clipping Service, 130 Main Street, Presque Isle, ME 04769 (1 copy needed)
2. PNA: Pennsylvania NewsMedia Association, 3899 North Front Street, Harrisburg, PA 17110 (2 copies needed)
Authorized Signature:
______________________________________________________________________________________________________
Print Name: ________________________________________________________________________________________________________________
Please mail this application and payment to the address below along with two copies of your newspaper for processing and ling
purposes.
For question, contact Mary Firestone, Manager Member Services & Meetings, at (717) 703-3069 or maryf@pa-news.org.
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