Membership form
Please complete the form below and mail membership dues to Mid-America Press Institute, 701 Devonshire Dr., C-33, Champaign, IL 61820.

The yearly dues structure for Mid-America Press Institute is based on circulation as follows: 

Circulation size below 15,000:                    $75
Circulation size from 15,000 to 49,999:     $100
Circulation size from 50,000 to 99,999:     $150
Circulation size from 100,000 to 249,999: $200
Circulation size above 250,000:                   $250
First name *
Last name *
Email address *
Name of news outlet *
City *
State *
Zip code *
Website *
Circulation size *
Primary contact (if you, please write same) *
Primary contact email (if you, please write same) *
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