Membership Application

Date of Application_________________________

Name (as you wish it to appear on your NPC name badge) _______________________________________

Spouse’s Name_____________________________________________________

Naples Mailing Address_________________________________________________________

Work Phone_________________________Home Phone______________________________

E-mail _________________________________Cell_________________Fax_______________

Employment Status: (Active or Retired) ___________________________________________

Employed By_________________________________________________________________

Application is for: Active _____________ Associate membership_________________

Information for Directory Listing
Brief statement of professional experience

____________________________________________________________________________________________________________

_______________________________________________________________________________________
(Please attach your resume or biography)

What contribution can you make to NPC? (e.g. Newsletter, Membership, Programs, Hosting.)
Indicate areas of interest, special resources or skills you would be willing to share.)

_______________________________________________________________________________________

_______________________________________________________________________________________

 

____________________________________________________
Signature

(PLEASE INCLUDE CHECK FOR $50 WITH APPLICATION)
Make check payable to Naples Press Club and mail to the Naples Press Club at
2390 Tamiami Trail N. Suite 210, Naples FL 34103

Applicants for Active membership who do not qualify may have their application fee refunded unless they wish to become an Associate member.