Application
Please fill out the application completely. You may clear all fields of the application by scrolling to the bottom and clicking "Clear form." The "Email application" button is non fuctioning at this time, so once you have completed the form please print it out and mail it to:
Regional Director of POWER!
Robert Watts
201 Lackawanna Avenue
Suite 211
Scranton, PA 18503
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Please be sure to include your yearly
membership fee with your application.
Student - $15/Per Year
Individual - $25/Per Year
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THE VALUES YOU PLACE INTO THE FORM CANNOT BE SAVED. Please print a copy if you wish to keep one for your records.
