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Membership Application

Print out this page and mail or fax to NJAHS (415-921-5087). For more information on the categories and benefits of NJAHS membership, Click here.

Membership Category:
New Member
Renewing Member
Contribution Level:
Basic ($40)
Family ($50)
Supporting ($60)
Contributing ($100)
Corporation ($250)
Patron ($500)
Life ($1000)
Non-profit ($50)
Student ($25) Proof of student status must be faxed in
International Orders

For International Orders, please add $10.00 to membership fee.

I am a resident of the United States
I am NOT a resident of the United States ($10)
Additional Donations
My employer matches contributions to non-profit organizations
Please send me information on your tax advantage-giving plan
Member Info
  
Billing Info

We accept Visa, MasterCard, and check payments.

Pay by Check
Pay by Credit Card (Visa, MasterCard ONLY)