NJMAA Membership Application 2018-2019
Membership is renewed for each academic year. *Renewals: Please fill in all the requested information so the NJMAA database can be updated.Annual membership dues are $70.00; Retirees, $25.00. You will need to mail your check or purchase order, payable to "NJMAA", to:

Mr. Lou Quagliato
c/o West Orange Public Schools
179 Eagle Rock Ave.
West Orange, NJ 07052

(973) 669-5400 x248

This year's membership is a: *
First Name *
Your answer
Last Name *
Your answer
Title *
Your answer
School District *
Your answer
Mailing Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Business Phone *
Your answer
Cell/Evening Phone (Optional)
Your answer
Fax (Optional)
Your answer
Email Address *
Your answer
My district can best be described as: *
My position can best be described as: *
I supervise/evaluate/work in the following areas (check all that apply): *
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