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Membership Application

Membership Application and Code of Ethics

5/22/25 Update

For the downloadable PDF application, click on this icon.   

 

There are two ways to fill out this application!

Method 1

 

1. You can fill out this form digitally on your computer, email it directly to us (with the completed application as an attachment) and we will bill you. Your membership begins upon receipt of your dues. You can also print out the completed application and send it in a stamped envelope to our physical address.

To fill out the PDF document digitally, on the PDF file application that opens:

1. To print, click on the text icon (box with a "T" in it) and then click where you want to write.

2. To draw a circle or make a check mark, click the "draw" icon then click where you want to draw.

3. To sign, either use the text tool or try your luck with the draw tool.

4. Save the document to your files and email the two first pages to us as an attachment.

Method 2

If you are unable to fill out the form on your computer, then print the blank form and fill it out with a pen (please write legibly!). You can then scan the completed document and email the two first pages to us as an attachment or mail the first two pages to our physical address with a check in a stamped envelope. We can bill you if you would prefer using your credit card. Your membership begins upon receipt of your dues.

Here is the email address:

 

The exact email address is still to be determined. It will be here soon. In the meantime, please print out the application and mail it to the physical address below.

Here is our physical address:

PPLAC Membership

10736 Jefferson Blvd

#859

Culver City, CA 90230

OR

 

Below is an example of the form for you to view. Please use the PDF button above for the actual form:

Member App 2 Pg1.jpg
Member App 2 Pg2.jpg
Member App 2 Code.jpg

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