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2012 Associate Newspaper Membership Application

coloradopress A S S O C I AT I O N

An Associate Newspaper Membership is $325 per calendar year. Access to Association attorneys is also available for a donation of $150 to the Freedom of Information (FOI). This membership level is for all newspapers that are not regular members and have a printed paper. The paper is eligible to participate in the 2x2 advertising program. Entitles every employee for the newspaper to press credentials, one newspaper directory, one Colorado Editor subscription for one year, and members of the organization may attend regional meetings. May compete in the Better Newspaper Contest if they are owned by a regular member newspaper and if they have paid their annual dues. Membership bylaws can be found on our website, www. coloradopressassociation.com, reference Article 1, Section B and Article VI, Section B.

New Renewal

Applicant Information (as it will appear in membership directory): Name of Applicant________________________________________ Title_ _______________________________________________ Legal Name of Business________________________________________________________________________________________ Legal Street Address__________________________________________ City/State/Zip______________________________________ Main Mailing Address_________________________________________ City/State/Zip______________________________________ Invoicing Address____________________________________________ City/State/Zip______________________________________ Phone_ ____________________________ Alternate Phone_____________________________ Fax___________________________ Email________________________________________________ Website_ _______________________________________________

References (Colorado newspaper publisher or employee): Name_______________________________________________________________________________________________________ Address_____________________________________________________________________________________________________ Phone_ ________________________________________________ Email_ _______________________________________________

Other Business Reference: Name_______________________________________________________________________________________________________ Address_____________________________________________________________________________________________________ Phone_ ________________________________________________ Email_ _______________________________________________

Payment Information:

Please process the enclosed check or process the following credit card for an annual Associate Newspaper Membership for the amount of $325, OR $475 if contributing to FOI. Check Enclosed

Charge my Credit Card (circle one): Visa / MC / AMEX

Cardholder Name (as it appears on the card) _ ______________________________________________________________________ Billing Address of Credit Card_ _________________________________ City/State/Zip_____________________________________ Card #_ _____________________________________________________________________________________________________ Exp. Date_ _________________________________________________ CID#: (3 digit on back of card)_ _______________________ Signature_ _____________________________________________________________________ Date_ _______________________ Please mail or fax your complete form and payment, if applicable, to: Colorado Press Association 1336 Glenarm Place | Denver, CO 80204 ph: (303) 571-5117 | fax: (303) 571-1803 coloradopress@colopress.net | www.coloradopressassociation.com

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