Join – Pennsylvania Online Messenger Association

We welcome and invite you to join the Pennsylvania Online Messenger Association (PAOLMA). Learn more about membership here. Dues are collected annually and help defray the costs associated with our meetings, newsletters, and other activities of the group.

Annual dues cover membership from November 1st each year through October 31st of the following year. Annual dues amount is determined by the number of stores operated by your company. Select the Number of Offices below to see the applicable annual dues. Application is simple. Just fill in the form below and submit. We will notify you when your application has been approved.

Member

Select # Of Stores

Main office plus branches

Annual Dues Amount

Site Number

Enter your primary Site # here

Receive Paolma notices, announcements, etc. via e-mail? *

Yes

You can changes this option at any time

Member Name *

First Name

Member Last Name *

Last Name

Company Name *

Enter Your Business Name

Website Address (optional)

Website address will appear on your location listings unless alternate address is entered for a location

Logo Upload (Optional)

Maximum file size: 5MB

Address *

Address Line 2

City *

State *

Zip/Postal Code *

Primary Phone *

Primary Fax

Primary E-Mail *

Alternate Email (optional)

Additional email notifications will be sent to this address

Alternate Email #2 (optional)

Additional email notifications will be sent to this address

Desired Username *

Desired Password *

Enter Password

Confirm Desired Password *

Confirm Password

Add an Additional PAOLMA Membership Contact?

Yes

Additional Contact Name

Additional Contact Phone

Additional Contact Email

Total Amount To Be Charged

Credit Card

Exp Month