Member Profile Information <br /> i <br /> Name <br /> New company address: <br /> Title <br /> Organization <br /> Address <br /> City State Zip Country <br /> Phone Fax E-mail <br /> New home address: <br /> Address <br /> City State Zip Country <br /> i <br /> Phone Fax E-mail <br /> i <br /> i <br /> ' Which of the following best describes you: <br /> ? White/Caucasian ? American Indian/Alaskan Native ? Natve Hawaiian/Other Pacific Islander ? Prefer not to say <br /> ? Black/African American ? Asian ? Some other race <br /> Optional: Are you of Hispanic, Latino or Spanish origin? ? Yes ? No <br /> To make your PRSA membership more valuable, please help us maintain an accurate profile of our members. <br /> Which category best describes your organization sector? (check all that apply) <br /> ? Agency ? Financial Services ? Professional Services <br /> ? Association/Nonprofit ? Food/Beverage ? Public Relations Firm <br /> ? Corporate ? Government/Municipal/Military ? Sports/Entertainment <br /> ? Education (Counseling) ? Health/Medical/ Pharmaceutical ? Travel/Tourism/Hospitality <br /> ? Education (Teaching) ? International/Multicultural ? Technology <br /> ? Employee Communications ? Manufacturing/Industrial ? Other <br /> Professional Interest Sections <br /> ? Send me more information. ? My dues payment is included with this invoice. <br /> ? Association/Nonprofit ................................$60 ? Enviromnent ..............................................$60 ? Public Affairs and Government ...................$60 <br /> <br /> ' ? Corporate ...................................................$60 ? Financial Communications .........................$60 ? Technology ........................................... <br />.....$60 <br /> ? Corporate Social Responsib$iry ...................$60 ? Food and Beverage .....................................$60 ? Trave] and Tourism .....................................$60 <br /> ? Counselors to Higher Education .................$60 ? Health Academy .........................................$60 <br /> ? Educators Academy ....................................$60 ? Independent Practitioners Alliance ..............$60 ? please send me the Counselors Academy's <br /> ? Employee Communications ........................$60 ? International ...............................................$60 separate application form (dues are higher) <br /> ? Entertainment and Sports ...........................$60 ? Multicultural Communications ...................$60 <br /> Chapters <br /> ? I am not a member of my local PRSA Chapter. Please send me information on the Chapter(s) nearest me. <br /> Affinity Groups <br /> Please check if you would like to join ? New Professionals Affinity Group......$20 (3 or less years experience in public relations) <br /> PRSA dues payments may be deductible as an ordinary business expense, but are not deductible as charitable contributions. <br /> <br />