Newsletter Contest: PSA Club, Council, & Chapter Newsletter Contest Entry Form

Select Group *

Name of PSA Club/Council/Chapter *

Location Served *

Editor's Name *

Home Phone *

Editor's Address, City, State, Zip and Country *

Editor's email address *

Is Editor an individual member of PSA? *

Is Editor a member of the PhotoEditor's Group? *

Club's Web Site URL *

Title of newsletter *

Electronic or printed? *

Number of different issues per year? *

Number of copies per issue that are:

------Electronic *

------Printed *

PSA Club/Council membership number [not needed by chapters] *

Club/Council Expiration date (month & year) - [not needed by PSA Chapters]

Where did you hear about this contest?

Attach newsletter entry PDF (must be 8mb or less) *

English translation (if needed)

Captcha: *

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Please insert the letters and numbers shown in the image

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