Life Member Application

Life Membership is available to PPO Members who:

Have been active members for a minimum of 10 years
Have accumulated a total of 95 qualifying years - One qualifying year is awarded for each year of membership and each year of age
Are retired from photography

Applications must be approved by the Board of Directors. Life members have all the rights, privileges, benefits and services as Active Members.

Please complete all the fields of this form to apply for Life Membership with PPO. Applicant will be informed of the Board decision by email.

Date

MM

DD

YYYY

Personal & Contact Info

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell Phone #

Birthdate

MM

DD

YYYY

Email Address

Studio/Business Name

PPA #

How long have you been a member of PPO?

What positions have you held in the organization or how have you contributed to PPO?

Is your Studio/Business still operating?

Yes

No

Other

If other, please elaborate.

How many years has/was your business in operation?

In at least 20 words, why do you feel you should be granted Life Membership with PPO?

Any other comments?

Signature

Typing your name is your consent and agreement to apply for Life Membership with PP of Ohio.

Digital Signature

If you have any questions about this form, please contact the PPO office at 614-706-7350 or email us at staff@ppofohio.org.