Individual Membership Application: Applicant Info

Self-Employed or Individual: $85 Annual Membership

Calling all self-employed and individual ad industry gurus. If you are a freelancer, photographer, consultant, or anything related to the advertising and communications industry you belong in AAF NEPA. Become a member today.

Complete the form below to submit your membership application. Please review that all information is accurate and correct. The information you submit below will be used to represent your company in the AAF NEPA online member directory.

First Name:*

Last Name:*

Membership Status:*
Renewing MemberNew Member

Company Name:*

Company Description:*

Upload Company Logo (280x200px: .jpg, .gif, .png accepted):*

Company Address:*

Contact Phone:*

Contact Email:*

Company Website:*

Facebook Page:

Twitter Handle:

Linkedin Profile:

Complete your membership info:

• Individual Membership includes 1 voting member for the yearly Board of Directors ballot and any other items regarding AAF NEPA that may require a vote by its’ participating members.