PLA Badge Request Form Email * PLA Member * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Do you have your PLA Badge from last year? * Do you have your PLA Badge from last year? Yes No # of Member Badges (homeowners) 0 1 2 3 4 # of Family Badges - (household members over 12 and not homeowners) 0 1 2 3 4 # of Guest Badges (6 per year/ $3.00 per badge) 0 1 2 3 4 5 6 Thank you!