Landlord Association of PA

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Membership Application

To download a Membership Application, click here

Mail Applications to: Landlord Association of Pennsylvania 1414 Millard St Bethlehem, PA 18018	or Fax to: 888-329-5279

Online Membership Application

Complete the form below.
Questions? Call 888-778-2173

Name:
Address:

City:
State:
Zip Code:
Social Security No:
Phone:
Fax:
Email:
Number Rental Units:	(units not buildings)
Type of Properties:	Residential Commercial Both
Location:	Primary County
Identification Forms:	CHOOSE 2 OF THE FOLLOWING: Copy of Property Title Landlord License Insurance Documents Copy of Lease Tax Bills Completed Rental App PLUS Must Have a Valid Photo ID
Contact Person:	(your manager, etc.)
Payment Method:	Check Money Order Credit Card (complete information below)
	Visa MasterCard Card Number: Expiration Date: (MM/YYYY) Name as it appears on the credit card:
Lead Source:
Referred by:
Mail payments to: Landlord Association of Pennsylvania 1414 Millard St Bethlehem, PA 18018 (Please allow up to 72 hours for membership setup)