2019 Membership Application
Pay in full or help manage the cost by selecting a payment plan!
Christmas Special(ONLY NEW MEMBERS) Application OPENED BACK UP FOR 3 days only! January 31st is last day for 50% off new membership. Payment must be received by Feb 3!
All Payments for Payment Plan must be received by May 15th. ***$25 processing fee is included in Payment Plan.
* Required
Email address
*
Your email
Membership Type
*
Choose
Bonded Family Paid in Full $650
Bonded Family Payment Plan 5 Payments of $135
Season Family Paid in Full $700
Season Family Payment Plan 5 Payments of $145
Bonded Head of Household Paid in Full $600
Bonded Head of Household Payment Plan 5 Payments of $125
Seasonal Head of Household Paid in Full $650
Seasonal Head of Household Payment Plan 5 Payments of $135
Bonded Couple Paid in Full $500.00
Bonded Couple Payment Plan 5 Payments of $105
Seasonal Couple Paid in Full $550.00
Seasonal Couple Payment Plan 5 Payments of $115
Bonded Single Paid in Full $350.00
Bonded Single Payment Plan 5 payments of $75
Seasonal Single Paid in Full $400.00
Seasonal Single Payment Plan 5 Payments $85
Bonded Senior Couple Paid in Full $250.00
Bonded Senior Couple Payment Plan 5 Payments $55
Seasonal Senior Couple Paid in Full $300.00
Seasonal Senior Couple Payment Plan 5 Payments $65
Bonded Senior Single Paid in Full$150.00
Bonded Senior Single Payment Plan 5 Payments $35
Seasonal Senior Single Paid in Full $200
Seasonal Senior Single Payment Plan 5 payments of $45
Christmas Special 50% off Family- $350
Christmas Special 50% off Head of Household-$325
Christmas Special 50% off Single- $200
Christmas Special 50% off Couple-$275
Name
*
Your answer
Second Adult
Your answer
Address
*
Your answer
City
*
Your answer
State
*
New Jersey
Other:
Phone
*
Your answer
Family and Head of Household Memberships: Please list all your children. Couple and Single Memberships-children are not included.
Children include anyone under the age of 24, who are your children and live in your home.
Child 1
Your answer
Child 1 Birthdate
MM
/
DD
/
YYYY
Child 2
Your answer
Child 2 Birthdate
MM
/
DD
/
YYYY
Child 3
Your answer
Child 3 Birthdate
MM
/
DD
/
YYYY
Child 4
Your answer
Child 4 Birthdate
MM
/
DD
/
YYYY
List Additional Children and Birthdates
Your answer
By Checking here
*
I agree to pay the invoice sent to me. I understand I can pay online through SSC Square Processing or by mailing a check to SSC Booster Club, PO box 4;Stratford NJ 08084
Required
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
Forms