PNPCA Directory of Members: Main Menu.

PNPCA Membership Form

Welcome
Thank you for your interest in becoming a PNPCA Member. Please fill out the information below to become a member. Once your information is received and approved, we will contact you to finalize your membership.

STEP 1 - Please provide your company information


First Name:
Last Name:
Title:
Company Name:
Company D.B.A.:
Address:
City:
State/Province:
Zip/Postal Code:
Country:
Phone:
Fax:
Email Address:
Website Address:

Products/Services (please list a maximum of 5 of your company’s products & services):
STEP 2 - Select your membership type Producer Membership
Level I [50 + employees at one plant location] *$1,600.00*
Level II [25-49 employees at one plant location] $*800.00*
Level III [1-24 employees at one plant location] *$500.00*
Associate Membership
Associate - *$300.00*
Total Enclosed

STEP 3 - Click send to complete your application for membership

Once you click send, this will electronically send your application via email. We request that you do not print and mail this application to PNPCA if you used this online application method.

Mail-In Membership Application Form

To become a member, fill out the information requested above, print it out, and return your application with your annual dues payment made payable to:

PNPCA
147 SE 102nd Ave.
Portland, OR 97216
503.257.9806 FAX 503.253.9172