2022 Preferred Vendor Plan

You will need to enter the billing information for the credit card on the registration form. If you have alternate information for the person you want as the contact for the Preferred Vendor Plan please also complete this form and email it to epwpcoa@ptd,net. 

To pay by check complete this form and mail it will a check to EPWPCOA 244 Mountain Top Rd Reinholds, PA 17569.