Fillable Online 2020 PNA Member Application Fillable (Pennsylvania NewsMedia Association)

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Online 2020 PNA Member Application Fillable (Pennsylvania NewsMedia Association)

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3899 North Front St., Harrisburg, Pa. 17110 · Phone: (717) 703-3000 · www.panewsmedia.org
ONLINE MEMBERSHIP APPLICATION
Publications are eligible for membership after six continuous months of operation.
Date of Application: ______________________________
Newspaper: _______________________________________________________________ Date Established: _____________________________
Name of Applicant: ___________________________________________________ Title: _______________________________________________
Email Address: _____________________________________________________________________________________________________________
Newspaper Address: _______________________________________________________________________________________________________
City: _____________________________________________ State: __________ Zip: ________________ County: _______________________
Main Phone: _____________________________________________ Main Fax: _____________________________________________________
Newspaper Website: ________________________________________________________________________________________________________
Description of Website (meta tag): ___________________________________________________________________________________________
Other: ____________________________________________________________________________________________________________________
Frequency of Updates: ____________________________________ (Must update website 2 times or more per week to be eligible)
Average Monthly Page Views: _____________________________ Average Monthly Unique Visitors: _______________________________
Average Session Time (if known): __________________________ Do you utilize a paid content model? Yes No
Fee for monthly subscriptions (if applicable): ____________________________________________
Please provide your run-of-site advertising rate for the three standard IAB sizes:
728x90: _________________________ 300x250: ________________________ 160x600: ___________________________
What services do you use to track internal metrics?____________________________________________________________________________
Additional publications published by this organization: ________________________________________________________________________
ANNUAL DUES: $500
Our newspaper(s) understand(s) that, in the event membership dues are not paid within three (3) months of being invoiced, the
Pennsylvania NewsMedia Association may, in its discretion, suspend services and/or deduct membership dues from reimbursements
or rebate checks due to the newspaper.
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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KEY CONTACTS
Please provide a main contact for the following areas:
EXECUTIVES:
(President, Publisher, GM, etc.)
Name: ________________________________________________
Title:
_________________________________________________
Email:
________________________________________________
Phone:
________________________________________________
Name: ________________________________________________
Title:
_________________________________________________
Email:
________________________________________________
Phone:
________________________________________________
ADVERTISING:
Name: ________________________________________________
Title:
_________________________________________________
Email:
________________________________________________
Phone:
________________________________________________
EDITORIAL:
Name: ________________________________________________
Title:
_________________________________________________
Email:
________________________________________________
Phone:
________________________________________________
CIRCULATION:
Name: ________________________________________________
Title:
_________________________________________________
Email:
________________________________________________
Phone:
________________________________________________
DIGITAL:
Name: ________________________________________________
Title:
_________________________________________________
Email:
________________________________________________
Phone:
________________________________________________
MARKETING:
Name: ________________________________________________
Title:
_________________________________________________
Email:
________________________________________________
Phone:
________________________________________________
PRODUCTION:
Name: ________________________________________________
Title:
_________________________________________________
Email:
________________________________________________
Phone:
________________________________________________
I T:
Name: ________________________________________________
Title:
_________________________________________________
Email:
________________________________________________
Phone:
________________________________________________
HUMAN RESOURCES:
Name: ________________________________________________
Title:
_________________________________________________
Email:
________________________________________________
Phone:
________________________________________________
ANNUAL DUES RECIPIENT:
(Receives annual dues invoice)
Name: ________________________________________________
Title:
_________________________________________________
Email:
________________________________________________
Phone:
________________________________________________
DATA VERIFICATION CONTACT:
(Updates company information each year)
Name: ________________________________________________
Title:
_________________________________________________
Email:
________________________________________________
Phone:
________________________________________________
ADDITIONAL CONTACTS:
Name: ________________________________________________
Title:
_________________________________________________
Email:
________________________________________________
Phone:
________________________________________________
Name:
________________________________________________
Title:
_________________________________________________
Email:
________________________________________________
Phone:
________________________________________________
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Online 2020 PNA Member Application Fillable (Pennsylvania NewsMedia Association)

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Completed 16 July 2020

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