New Membership/Update Form

Print and send this completed form with your payment to:
PSA, P.O. Box 28355
Portland Oregon 97228

Membership to PSA is $30 per year.

Existing Members can fill out this form to change their current information.

To print this form, select "CTRL + P" on your keyboard.

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BUSINESS/COMPANY:
_______________________________________________________
NAME:
_______________________________________________________

STREET ADDRESS:

_______________________________________________________

CITY:

________________________________ STATE: _______ ZIP:
___________
DAY PHONE: (____) _____________

EVENING PHONE:

(____) _____________
EMAIL (opt.):
__________________________________________
PLEASE CHECK ALL THAT APPLY
I PLAY: GUITAR   KEYS BASS DRUMS
VOCAL:
OTHER: 
_________________________________________________
I LIKE:
ROCK
COUNTRY
ADULT/CONTEMP
CLASSICAL
R&B
INSTRUMENTAL
FOLK
ALTERNATIVE
CHRISTIAN/CHILDREN
OTHER STYLES:
_____________________________________________________________
I WRITE:
  LYRICS
MUSIC
I COLLABORATE?:
YES
NO
COMMENTS OR CREDITS TO BE PRINTED IN DIRECTORY:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
(THIS SECTION WILL NOT BE PRINTED IN DIRECTORY, FOR PSA ADMIN USE ONLY)
OTHER SKILLS:
COMPUTER
 ADMIN/CLERICAL
MARKETING/PR/PROMO
ADDITIONAL SKILLS:
_________________________________________________
I BELIEVE THE PSA COULD BE IMPROVED BY:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

I DO NOT WANT MY ADDRESS IN THE PSA DIRECTORY.