Member Record Update | Dues Form

Membership Classification (Pick One)
---Photographer Active $200Photographer Active Same Studio $150Non Photographic $55Sustaining Vendor Member $250Student of Photography $50Retired $25Disabled $25Lifemember

Your Name (required)

Studio/Business Name (required)

Your Email (required)

Your Twitter Account @

Your Facebook Address

Studio/Business Address (required)

Studio/Business City,ST, Zip + 4 (required)

Website Address (please include http://)

Studio/Business Phone

Home Phone (not publicly visible)

Mobile Phone (not publicly visible)

Connecticut Sales Tax Number (required for Active Members)

Upload a copy of your Sales Tax Permit (pdf, jpg, etc. Keep the file small as possible) 500kb max

Are you a member of PPA?  Yes No

If So, what is your PPA number

List any PPA Degrees Held

Are you a member of PPANE Yes No

Are you interested in Volunteering for CTPPA?  Yes No

Does CTPPA have your permission to give your contact information to select photographic industry vendors?  Yes No

What is your home address? Street, City, St, Zip

What county are you in? FairfieldHartfordLitchfieldMiddlesexNew HavenNew LondonTollandWindhamOut of state

Which address do you wish to have your mail sent? Studio/Business AddressHome Address

Please attach a headshot or logo you wish to be used on our "Find a Photographer" section of our website (Crop to 150px square)

Please write a brief description of your business as you would like it written on our "Find a Photographer" section of our website

Any other information you would like to include in your account record?

Press Send Once and wait for the upload of files to be completed

Sending records can take up to 2 minutes