PMA Membership Application

Name:
Title:
Business Name:
Business Address:
City:
State:
Zip Code:
Business Phone:
Business Fax:
Business Email:
Business Website:
Referred by:
Please list five marketing-related activities which consume the majority of your time:

If you prefer, you can download the PDF version of our application, print & send the application to:

Professional Marketing Association
P.O. Box 51090
Bowling Green, KY 42102-4390

Dues will be billed at $60 per person per year, or will be prorated if less than 6 months are left in the calendar year.