LOS ANGELES PRESS CLUB …

                             LOS ANGELES PRESS CLUB
                             A non-profit organization with 501(c)(3) status

                             4773 Hollywood Boulevard
                             Hollywood, California 90027
                             Phone: (323) 669-8081 | Fax: (323) 669-8069
                             Web: www.lapressclub.org
                             E-mail: info@lapressclub.org


APPLICATION FOR MEMBERSHIP
____Active Member $75 (Journalist/Media)          ____Student Member $30
____Associate Member $85 (Non-journalist)         ____Retired Member $30
____Patron $250(a member who wants to give extra tax deductible support to the club)


Name_________________________________________________________________

Job title___________________________Company____________________________

Mailing Address________________________________________________________

City_____________________________________State/zip______________________

Home Phone_________________________Bus. Phone________________________

Cell Phone______________________E-mail_________________________________

Web Page______________________________________________________________

Active members must earn 50% of their income from journalism. Please include clippings,
tape, CD, DVD or URL with your application form. Associate, student and retired members
are non-voting members.

___NO, you may not list my contact information in the directory.

___YES, I want to volunteer for Press Club activities, to help at events or in
   the office. Please contact me.

________________________________________________________________


Your application form should be accompanied by check or applicable credit card
information. Please make your check payable to LOS ANGELES PRESS CLUB.
To pay by credit card, please complete the requested information on reverse side or pay
online at www.lapressclub.org.
CATEGORY DEFINITION                                                        AMOUNT
Active          Derives majority of annual income from journalism.         $75
                                                                           renewal $60

Associate       In an affiliated field such as public service, PR,         $85
                marketing, law, business or government. Non-               renewal $75
                voting.

Student         A full-time student in high school, college or             $30
                graduate school. Non-voting.

Retired         A member for at least ten years while a journalist or      $30
                associate, and now retired. Non-voting.

                An active or associate member who wants to                 $250
Patron
                support the club's goals and objectives.

Corporate Membership:
$250 ­ weeklies under 50k circulations, magazines, news bureaus under six employees,
        online outlets under 10 editorial employees, corporations under 100 employees,
        PR firms with fewer than 10 employees.
$500 ­ daily newspapers under 100k circulation, weeklies and semi-weeklies over 50k,
        all talk and news radio stations, news bureaus with over six employees, online
        outlets over 10 editorial employees, corporations under 3,000 employees, PR firms
        with more than 10 employees.
$1,000- daily newspapers over 100k circulation, major market TV stations, corporations
        over 3,000 employees.

For further information or to make a tax deductible donation, please call
(323)669-8081 or e-mail info@lapressclub.org.



Credit Card Type:       ___Visa        ___Master Card          ___American Express

Credit Card #________________________________Exp. Date_____________

Security Code on Card__________Amount $_________________

____Yes, I would like to renew automatically every year

Name on Credit Card______________________________________________

Signature________________________________________________________

If you are renewing your membership, please include your Press Club

Membership number here_____________________________