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Publication membership application

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Thank you for your interest in joining the Evangelical Press Association. Use this form to apply for regular publication membership in EPA.

Publication  
For publishers of qualifying periodicals  
 







 
 
Organization Details

Street number, street name, apartment/unit/suite - OR P.O. box

Supplemental address info, e.g. c/o, department name, building name, etc.
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Enter optional 'add-on' code after the dash ('plus 4' code for U.S. addresses).
If you would like to create an account on this site, check the box below and enter a user name and a password . If you already have an account, please login before completing this form.
Credit Card Information
Enter numbers only, no spaces or dashes.
Security Code Location on Credit Card
Usually the last 3-4 digits in the signature area on the back of the card.
 
Billing Name and Address
Enter the name as shown on your credit or debit card, and the billing address for this card.
Publication application
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Average number of issues distributed. (On-line publications should use estimated number of unique visitors per month.)
© 2010 Evangelical Press Association
P.O. Box 28129
Crystal, MN 55428