PRSA Boston Chapter

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Agency Registration

Agency Listing Input Form

Please fill out the form below to be included in our list of Boston Area Public Relations Firms.

The Basic listing includes your contact information, areas of specialization, a hot link to your web site and a 15-word agency description. Deluxe listings are available for an additional $50. Deluxe listings include the Basic listing, plus your logo hot linked to your web site, distinctive graphics and a 50-word description.

Annual basic listing rates are based on Boston-area employment.

If the contact person for your listing is a member of the Boston Chapter, deduct $50 from the fee.

Employees		Fee
1 - 3		$75
4 - 15		$150
16 - 30		$200
31+		$250

For further information please contact Chapter Administrator Beth Bryant at bbwrites@comcast.net or 617-926-9595.
Thank you.

The items listed in red are required.
Agency Name:
Agency Contact:
Street Address:
Street Address 2:
City:
State:
Zip:
Phone:
Fax:
	Email & Password necessary for future access to your profile. Your email address will be your user name.
Email
Password:
Website Address/Url:
Number of Employees:
Basic Description (15 Words) (Use only for Basic Listing):
Private Contact Name (Will not Display in Listing):
Private Email (Will not display in listing)::
Private Phone: (Will not display in listing):
PRSA Member:

Deluxe Description goes here. You will be contact ed about sending your logo.)	Deluxe Description goes here.

Listing Type:
Payment:
Credit Card Number:
Card Expiration Date:
Choose up to 10 Agency Specialties. Make sure that you choose them in the order that you would like them displayed in your listing. This can be edited later if so desired.
Specialty 1:
Specialty 2:
Specialty 3:
Specialty 4:
Specialty 5:
Specialty 6:
Specialty 7:
Specialty 8:
Specialty 9:
Specialty 10:
Choose up to 10 Industries that your agency specializes in. Make sure that you choose them in the order that you would like them displayed in your listing. This can be edited later if so desired.
Industry 1:
Industry 2:
Industry 3:
Industry 4:
Industry 5:
Industry 6:
Industry 7:
Industry 8:
Industry 9:
Industry 10:
Other questions or comments about yor new listing or suggestion that you might have to improve the registration process:


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