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| Click here to download the 2009 PRCAP Patch Program Rules and Regulations (PDF format)
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| PRCA Member Information |
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Last Name: |
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PRCA Card Number: |
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State: |
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Zip: |
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| Home Phone #: |
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Cell Phone #: |
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E-Mail Address: |
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| Company Name: |
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Type of Business: |
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Contact Name: |
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| Street Address: |
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State: |
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Zip: |
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Fax #: |
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E-Mail Address: |
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Type of Contract Submission |
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| *Note: If this is a new application, please attach the logo below (disregard if sponsor is already registered). |
Attach the logo:
Attachments need to be in jpeg
or eps format ONLY. |
| By selecting this box and submitting the PRCAP Patch Program Application, I agree to these terms and conditions. |
| Final Approval of this agreement rests with PRCA Properties Inc. Allow two weeks for the application to be processed. The PRCA member will be notified by PRCAP in writing of approval or denial for registration into the PRCA Patch Sponsorship Program with the Sponsor Company listed above. The PRCA member will also receive a registration card which will list the member's registered sponsors. |
| Term. All 2009 contracts will expire January 31, 2010 and they must be renewed every year. |