2018 PPA Membership Application
A PDF version of this application will be emailed to you for your records. If paying via PayPal and you included your Social Security number, no further action is needed. If paying by check or you did not included your social security number, please print a copy of the PDF from your email, add your social security number in pen, include your check for the membership fee and mail to PPA, 202 Colonial Ct, Forest VA 24551
Name *
First, Last
Your answer
Address *
Street address
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Email *
Your answer
Cell #
Your answer
Age
Your answer
Division *
SS # *
Sample 111-22-3333 If not completed on line, this answer MUST be completed by hand prior to sending in. NO PRIZE MONEY WILL BE DISTRIBUTED WITHOUT THIS NUMBER ON YOUR APPLICATION
Your answer
Acknowledgment *
Submission of this application acknowledge understanding and acceptance of the membership rules and code of conduct. I agree to abide by the posted rule book of the PPA
Required
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