PRPS Membership Application Form

Name:
Position:
Employer/Agency:
Mailing Address:
City:
State:
Zip:
Address:
 Home Office
Student at
Phone: Office
Phone: Home
Fax#:
E-MAIL:
County:
Certification:
CPRP CPRA CTRS Other
Membership recruited by:
 
SPECIAL INTEREST AREAS
(Select all that apply)
Educator
Commercial & Resort Rec.
Urban Recreation
Trails
PLEASE SEND ME FREE INFORMATION ON:
 National Recreation and Park Association
Professional Certification
   
BRANCH CHOICE
(Select one or more)

Aquatics Branch
Community Recreation & Parks Branch
Park & Resources Branch
PA State Parks Society (Open to all DCNR employees only)
 PA Therapeutic Recreation Society

Therapeutic Recreation Specialty Areas:
LTC
VA
Dev. Disabilities
State Hospital
Psychiatric
Rehab
   
MEMBERSHIP ELIGIBILITY AND DUES STRUCTURE
GROUP MEMBERSHIP
AGENCY: Recreation and/or park-related agencies including government, nonprofit, therapeutic, or private organizations or institutions that provide such services. Based on population served. Includes two individual memberships

 

    1st Year Rate
0 to 100,000 $215 $165
100,000 to 1,000,000 $295 $230
over 1,000,000 $530 $425
Additional individual membership $80 $70
BOARD/COMMISSION: Recreation and/or park boards and commissions of political sub-divisions of the Commonwealth, or boards of directors of nonprofit recreation related organizations. Includes five individual memberships.

 

Attach names and addresses. $200 $175
Additional individual membership $40 $35

 
SUPPORTING BUSINESS: Business firms interested in the recreation and park field.
  $190 $150

INDIVIDUAL MEMBERSHIP
PROFESSIONAL: Individuals engaged in full-time and part-time recreation and park work. Based on salary.
    1st Year Rate
under $10,000 $60 $50
$10,000 - $20,000 $80 $65
$20,000 - $30,000 $95 $75
$30,000 - $40,000 $105 $85
$40,000 - $50,000 $125 $95
over $50,000 $140 $110
STUDENT: Individuals attending educational institutions full-time who are preparing for any phase of recreation and park work. See also College/University
  $30 $25
FRIEND: Any interested person including seasonal employees, volunteers, and individual board or commission members. This category is for persons who do not qualify for other categories. For five or more memberships from the same organization, select the Friends Group Category.
  $45 $40
RETIREE: Individuals having been employed full-time in recreation and parks whose employment was terminated due to retirement. Must have held active membership for at least five years prior to retirement.
  $40 $35
CONTRIBUTING: Individuals and organizations interested in assisting the society in the attainment of its objectives.
  $320 $300
LIFE: Individuals desiring a lifetime membership.
    $1000
   
Subtotal
 $
Additional Branch Fees
 $
Total
 $
   
PAYMENT INFORMATION - Please indicate how you would like to be billed
Bill my agency
Sending Check
Credit Card (MasterCard or Visa)

I would like to support the establishment of the Pennsylvania Institute for Recreation and Parks.

I will be sending a separate check payable to PRPS for the amount of $ .

Membership dues are renewable on January 1 each year. New memberships received July 1 to September 30 pay 50% of the annual dues. New memberships received after September 30 are credited toward the next full membership year. From each membership dues, $10 is used for the publication of PENNSYLVANIA RECREATION & PARKS and $5 is used for the publication of PRPS UPDATE. Membership dues may be deductible for federal income tax purposes. PRPS is a 501.c.3 organization. A copy of the official registration and financial information may be obtained from the Pennsylvania Dept. of State by calling toll free, within Pennsylvania, 1 (800) 732-0999. Registration does not imply endorsement.

Do not include a Credit Card number - A representative will contact you for this information. If you would like to send a check, select the option above and mail your check to:

PRPS
2131 Sandy Drive.
State College, PA 16803-2283

 

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