The Picture Archive Council of America

PACA
Application for Friend of PACA Membership 2010
Yearly Fee is $375.00-USD

BOLD fields are required. Please provide the following information in its entirety.
Please note that you must submit a letter requesting PACA membership and detailing your employment with this application. You may include your letter with your online application or send it separately to:

PACA OFFICE
23046 AVENIDA DE LA CARLOTA, STE 600
LAGUNA HILLS, CA 92653-1537

An invoice will be sent to you upon acceptance of membership.

Agency or Individual Name:
Place of Business/Address:


Place of Business/City:
Place of Business/State or Province:
Place of Business/Postal Code:
Place of Business/Country:
Mail Address, if other than above:


Mail City:
Mail State or Province:
Mail Postal Code:
Mail Country:
Phone:
FAX:
Email:
Website:
Employment Letter:


	©2010 Picture Archive Council of America. All rights reserved. Spot photo credit information is available by clicking here.