You can renew online with a credit card but if you are a new sponsor or if you have any changes to your current listing you will need to also complete and submit this form.
The information you type in for the credit card payment should be the billing information for the card. Your contact information will be completed on the form above. If there are no changes you do not need to complete the above form.
You will need to enter the billing information for the credit card on the registration form. If you have alternate information for the person you want as the contact for the Preferred Vendor Plan please also complete this form and email it to epwpcoa@ptd,net.
To pay by check complete this form and mail it will a check to EPWPCOA 244 Mountain Top Rd Reinholds, PA 17569.
NOTE: Most information will be email. If you have an additional contact or contacts you wish to receive the emails, please email the office the name and email of those individuals.