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Professional Image in the entertainment Industry.
Members Booking Agency
Annual National Convention/
Showcase/Banquet (in Las Vegas or other city)
Member Directory
Members Name listed on PEIA website
Members may host
sanctioned PEIA Showcases in their area.
Membership Sign Up Form
( Print and Fill in Information)
Name:
Address:
City:
State:
Zip:
Phone:
Email
Address:
Website:
Membership Type:
___ Basic Membership - $25.00
___ LifeTime ($50)
Includes your info in our Directory
( Please include your scanned photo)
I Agree to abide by all rules and the creed for the PEIA and
will stand by the decisions made by the
board.
__________________________________
__________
Singature / Date
Mail this form with Money Order or cashiers check to:
Johnny
Thompson c/o PEIA
P.O. Box 230207
Las Vegas, NV. 89123
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