MEMBERSHIP APPLICATION
MEMBERSHIP OPTIONS AND RATES
Mail Applications To:
CL #500007
PO Box 5007
Merrifield, VA 22116-5007
Membership Services
800.626.NRPA (6772)
Fax 703.858.0794
[email protected]
Premier ($650–$5,500) Includes all full-time professional employees working
in the agency and up to 10 advocate members who serve on park and
recreation boards or advisory councils, are in elected or appointed civic roles,
or are community volunteers.
Standard ($425) Includes up to three professional members working in an
agency or other environments such as: universities, colleges, military base
installations, hospitals, health clinics and not-for-profits; also includes ability to
add professional members within the same organization at a rate of $170 and
add advocate members at a rate of $80.
INDIVIDUAL RATES
ABOUT NRPA
The National Recreation and Park
Association is a national, not-forprofit organization dedicated to
advancing park, recreation, and
conservation efforts that enhance
the quality of life for all people.
Through its network of more than
50,000 professionals and
community advocates, NRPA
encourages the promotion of
healthy lifestyles, recreation
initiatives and conservation of
natural and cultural resources.
Headquartered in Ashburn, Virginia,
NRPA works closely with local, state
and national recreation and park
agencies, community advocate
groups and corporations to carry
out is objectives. Priorities including
advocating favorable legislation and
public policy; increasing public
awareness of the importance of
parks and recreation; providing
continuing education, professional
certification and university
accreditation; and conducting
research and technical assistance.
For more information, visit
www.nrpa.org.
Professional ($170) For park and recreation professionals working in agencies
or other environments, such as like minded non-profit organizations,
universities, colleges, military base installations, and hospitals or health clinics.
Young Professional ($99) For individuals that are 35 and under; working at
least part-time in parks and recreation or another related field.
Student ($50) For full or part-time students studying park and recreation
curricula; not simultaneously employed as a full-time professional in that field.
Retired ($80) For individuals that have retired from parks and recreation.
Advocate ($80) For individuals who serve on park and recreation boards or
advisory councils, are in elected or appointed civic roles, or are community
volunteers.
SUPPLIER RATES
Industry Supplier ($250) For companies other than non-profit organizations
- includes one professional membership. Additional members from the same
company may be added at a rate of $170.
*Visit www.nrpa.org for additional membership benefits information.
NRPA MEMBERSHIP APPLICATION
1: CONTACT INFORMATION
Member ID number
Primary Contact Information
Prefix
First Name
Middle Initial
Last Name
Suffix Title
Organization Address City
State
Phone
Birthdate
Fax
/
/
Email
5. Occupation (check one):
Male Female
2. Race/Ethnicity (check all that apply):
African American/Black
American Indian/Alaska Native
Asian Hispanic/Latino
Native Hawaiian/Other
Pacific Islander
White
Armed Forces Recreation Professional
Advocate/Civic Leader
Bachelor’s
Associates
Some College
High School
Staff /
/
(Students Only)
Communication Preferences
NRPA makes available its members’ addresses
(excluding telephone and email) to vendors
who provide products and services to the park
and recreation community. Please check here
if you prefer not to be included in these lists.
❍ Exclude from list
School District
Industry Supplier
Special District
Non-Profit Service Provider
State
Volunteer/Coach
Town
Retired Professional
Township
Student
Related Profession (Landscape
Architect, Agronomist, Historian,
Naturalist, Mechanic, MBA, etc.)
4. Occupational Level (check one):
County
Regional/Metro Authority
Educator/Researcher
3. Education Level
Borough
City
Independent District/Authority
Consultant
Other ___________________
Master’s
6. Jurisdiction Type:
Park & Recreation Professional
Country
Web site address
(Mandatory for young professional membership category) Estimated Date of Graduation
1. Gender:
Doctorate
Zip
Tribal Lands/Reservation
Military Department/Air Force
Military Department/Army
Military Department/Coast Guard
Middle Management
Military Department/Marines
Executive Management
Military Department/Navy
2: MEMBERSHIP CATEGORY SELECTION
Individual Rates
❍ Professional $170
❍ Young Professional*** $99
❍ Advocate $80
❍ Retired $80
❍ Student+ $50
Premier Package*
Additional Packages
(Based on No. of Full Time Employees)
❍ 1–10 $650
❍ 101–250 $2,250
❍ 11–20 $850
❍ 251–500 $3,000
❍ 21–50 $1,100
❍ 501–1,000 $4,000
❍ 51–100 $1,500
❍ 1,000+ $5,500
❍ Standard Package** $425
Professional Add-on
Advocate Add-on
X $170 =
X $80 =
❍ Industry Supplier** $250
Industry Supplier Add-on
X $170 =
*Primary contacts for Premier package applications will be sent an email with roster submission instructions once the application is processed.
**Please complete roster information in section 5.
***Please submit a copy of driver’s license or government issued ID noting birth date along with application.
+
Proof of student status required, please submit a copy of one of the following with application: an original letter on the institution’s letterhead signed by any qualified representative from your university
program, student ID with valid dates, or a current transcript.
3: SUBSCRIPTION OPTIONS
If you wish to purchase additional magazines, indicate quantity below.
$46 per annual subscription x
=
4: SUMMARY AND PAYMENT
Full payment required for processing. Forms received
without payment or authorized purchase order will
be returned.
Total (by section)
Amount
Please make checks payable to: National Recreation and Park Association (NRPA)
❍ Purchase order Credit Card:
❍ Visa
❍ American Express
Credit Card Number:
Membership Selection (from section 2) $
Expiration Date:
Subscription Options (from section 3)
$
Billing Address:
Grand Total (U.S. Funds)
$
Signature: For Internal Use:
❍ MasterCard
❍ Discover
Security Code:
Name on Credit Card: NRPA MEMBERSHIP APPLICATION
5: ROSTER AND ADD-ONS FOR STANDARD AND INDUSTRY SUPPLIER PACKAGES
If you are applying for the Premier Package, you will receive an email with instructions to provide your full roster after your application is processed.
Package Member #2
Prefix
First Name
Middle Initial
Last Name
Suffix Title
Phone
Fax
Email Address
❍ Same as Primary Contact
❍ Preferred Mailing
Address City
State
Zip
Country
Package Member #3
Prefix
First Name
Middle Initial
Last Name
Suffix Title
Phone
Fax
Email Address
❍ Same as Primary Contact
❍ Preferred Mailing
Address City
State
Zip
Country
Package Member #4
Prefix
First Name
Middle Initial
Last Name
Suffix Title
Phone
Fax
Email Address
❍ Same as Primary Contact
❍ Preferred Mailing
Address City
State
Zip
Country
Package Member #5
Prefix
First Name
Middle Initial
Last Name
Suffix Title
Phone
Fax
Email Address
❍ Same as Primary Contact
❍ Preferred Mailing
Address City
State
Zip
Country