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LOS ANGELES PRESS CLUB …
Tags: address city state, american express, american express credit card, angeles california, associate members, city state zip, contact address, corporate application, credit card exp, credit card information, digit zip, fax e mail, hollywood boulevard, mail info, mail web, master card american express, membership company, security code, visa master card, zip phone,Pages: 2
Language: english
Created: Wed May 28 22:50:18 2008
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LOS ANGELES PRESS CLUB
A non-profit organization with 501 (c)(3) status
4773 Hollywood Boulevard
Los Angeles, California 90027
Phone: (323) 669-8081 | Fax: (323) 669-8069
Web: www.lapressclub.org
E-mail: info@lapressclub.org
CORPORATE APPLICATION
FOR MEMBERSHIP
Company Name_________________________________________________________
Name of primary contact_________________________________________________
Address_______________________________________________________________
City ____________________________________State/Zip_______________________
Phone___________________________________Fax___________________________
E-mail___________________________________Web Site______________________
Type of business_______________________________________________________
Signature__________________________________________Date________________
Application should be accompanied by check or credit card information to be valid. Make
checks payable to the LOS ANGELES PRESS CLUB and mail to the address above.
For rates, see reverse side. List names and info on Associate Members on separate sheet.
To pay by credit card, please complete information below.
Credit Card Type: ___Visa ___Master Card ___American Express
Credit Card #_____________________________________Exp. Date_____________
Security Code____________Amount $______________________________________
Name on Credit Card____________________________________________________
5-digit zip associated with this card________________________________________
Signature______________________________________ Date___________________