Membership Form



New Jersey Studies Academic Alliance

www.njsaa.org                   https://www.facebook.com/NewJerseyStudiesAcademicAlliance

(Please type or print)


Date:        ______________


Name:       ______________________________________________________________


Address:    ______________________________________________________________


_______________________________________________________________________


____________________________________________  zip code ___________________

                (This is my work _____ home _____  )


Affiliation:    ______________________________________________________________


Daytime telephone number:    _______________________________________________


Email address:    _________________________________________________________


**  All news and meeting notices will be sent via email. Visit our web page or Facebook page for more details.


If you'd like more information about joining a committee or becoming involved, check here ____, and we will contact you.


Membership dues are $5 per year, but you can pay $15 for three years.


 ______ $15 for three years 

OR

______ $5 for one year


AND

I’d like to include a tax-deductible donation for the student monetary awards

for superlative research papers $___________

            

Please make your check payable to New Jersey Studies Academic Alliance and remit with this form to Dick Waldron, NJSAA Treasurer, 47 Versailles Court, Hamilton 08619.


For questions about membership, contact Karl Niederer.


For questions about the organization, please contact NJSAA president Maxine Lurie.


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