Membership Form | ppqguild

Please choose one

New Member

Renewal

Change of Information

First name

Last name

Birthday

Month

Day

Year

Cell Phone

Home Phone

Address

Mailing Address (if different)

Email

Personal Information Sharing

Dues must be received by January 31 for your name to be printed in the annual Membership Directory.

Is it OK to include your personal information in the printed PPQG Membership Directory?

Yes

No

Is it OK to include your personal information in the online version of the Membership Directory? It will be accessible only by PPQG members logged into the PPQG website.

Yes

No

Do you want a hard copy of the 2027 PPQG Membership Directory?

Yes

No

Monthly Newsletter

Do you want to receive the monthly newsletter?

Yes, by e-mail (free with paid membership)

Yes, by US Mail (for an additional $30)

Service Providers

Do you want to be named and listed as a Service Provider?

Yes

No

If yes, your name and contact information will be shared in the Membership Directory, plus passed along to other people inquiring about different services that our membership has to offer.

PPQG MEMBERSHIP FORM

Personal Information Sharing

Monthly Newsletter

Service Providers