Your Name:
Your Job Title:
Your Company or Organization:
Street Address or PO Box:
City:
State:
Zip Code:
Phone Number:
Cellular:
Email:
Website:

Please select the membership category from the list below. The NJCAMA membership year runs January 1 to December 31. An individual membership enables the member to vote once. A company membership allows for up to five representatives and allows for two employees to vote. If you are renewing a company membership, please provide the names and titles of each representative from your company (e.g. John Smith, title).

Current Rates

Individual Membership: $100.00. One member representative.

Company Membership: $225.00 Up to five member representatives; complete the “Company representatives” section below.

Indicate here which membership you are chosing.

 Individual Membership Company Membership; complete the “Other Contacts” section below.

Company Contacts (Four additional names)

Representative #2
Title
Phone
Email

Representative #3
Title
Phone
Email

Representative #4
Title
Phone
Email

Representative #5
Title
Phone
Email

Indicate here how you intend to pay for your membership. If you are paying by PayPal, please continue to the yellow “Add to Cart” link at the bottom.

 Mailing Check along with application PayPal (Please see PayPal Payment link at bottom of page)