Member Information Form

Please fill out the below form to ensure your agency is receiving relevant and meaningful communication from the PR Council.

CEO or President Name*
First Last
Title*
Email*
Phone*
Assistant Name
First Last
Title
Email
Phone
COO Name
First Last
Title
Email
Phone
CFO Name
First Last
Title
Email
Phone
Data & Analytics Lead Name
First Last
Title
Email
Phone
Digital Lead Name
First Last
Title
Email
Phone
Diversity Champion Name
First Last
Title
Email
Phone
HR Lead Name
First Last
Title
Email
Phone
In-House Marketing Lead Name
First Last
Title
Email
Phone
New Business Lead Name
First Last
Title
Email
Phone
Please add any additional staff you would like to receive PR Council distributions.

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