Thank you for your interest in becoming a member of PCHA. Please fill out the form below to submit your application.

Membership Benefits:

*
Student Scholarship
* Free entrance to events held exclusively for members
* Discount admission for paid events
* Right to vote for Executive Board elections
* Annual calendar of events to upcoming programs
* PCHA Website - www.pchanj.com


 

2019 Membership Application
Please complete all information below and make payment via PayPal or mail a check to the address below.

 
Name *
Name
Mailing Address *
Mailing Address
Phone *
Phone
Additional Donation/Contribution (please specify):
$
$

Membership Fees:

Screen Shot 2019-05-05 at 5.03.13 PM.png

Payment info:

Please make payment via PayPal to info@pchanj.com or mail your check to:

PO Box 760
Alpine, NJ 07620-0760
USA