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THIS IS FOR NEW MEMEBERS ONLY - Current Members use January 2 to renew

You MUST use the billing address for the credit card to process this charge. If you want your mailing address to be something other than the one associated with the credit card please add that to the comment field or email the office.

NOTE: You MUST use the billing address for the credit card to process this charge. If you want your mailing address to be something other than the one associated with the credit card please add that to the comment field or email the office.

You can renew online with a credit card but if you are a new sponsor or if you have any changes to your current listing you will need to also complete and submit this form.  

The information you type in for the credit card payment should be the billing information for the card. Your contact information will be completed on the form above. If there are no changes you do not need to complete the above form.  

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.  

NOTE: Most information will be email. If you have an additional contact or contacts you wish to receive the emails, please email the office the name and email of those individuals.

Our Scholarship donation request can be found HERE.

If you would like to mail a check please make it payable to EPWPCOA and mail it to 244 Mountain Top Road Reinholds, PA 17569.

You can pay by creidt card but if you would like to donate an amount not listed on the "registration" page and/or request a receipt for tax purposes please contact the office epwpcoa@ptd.net. 

Thank you for your contribution.