PASSJ Membership Form
Pakistan-American Society of South Jersey (PASSJ) welcomes you to renew or apply for new membership to our Society!

We are requesting ALL existing and new members to kindly complete this Online Membership Form to ensure we have your most recent details. After completing the form, please pay the nominal annual membership fee via credit/debit card or check using the link, http://tinyurl.com/PayPassj40

Please note that only the paid members (per by-laws) shall be eligible to vote for PASSJ Executive Committee future elections and join general body meetings and they shall also be eligible for discounted tickets at PASSJ events. Your membership, participation, and support is vital to the success of PASSJ. We look forward to seeing you soon!

Please be sure to click on the Submit button on the last page to complete your registration.

Sincerely,
PASSJ Executive Committee
http://PakAmerican.Org

Please join and like us on Facebook!
https://www.facebook.com/PakAmerican


Name
Enter FirstName MiddleName LastName E.g. Mohammad Ali Jinnah
Your answer
Profession
Enter your profession/occupation. E.g. Physician, Engineer, Lawyer, Business Owner, Business Executive, Self Employed, Homemaker, Retired, Unemployed, Etc.
Your answer
Family Information
All personal information will be kept strictly confidential. Dependents age is required to determine their voting eligibility.
Family demographic information allows us to plan programs based upon the structure of the families and ages of the children in our community.
Your dependents are those members of your household who are your legal dependents i.e. who live with you and you claim them as dependents on your tax returns. If any of your household dependents are employed or file their own tax return, they are requested to apply for separate membership.
Spouse's Name
Enter First Name Middle Name Last Name
Your answer
Spouse's Profession
Enter your spouse's profession/occupation
Your answer
1st Child/Dependent's Name
Enter First Name Middle Name Last Name
Your answer
1st Child/Dependent's DOB
Enter Month and Year of Birth [Month/Year] e.g. 08/1947. Dependents age is required to determine their voting eligibility.
Your answer
2nd Child/Dependent's Name
Enter First Name Middle Name Last Name
Your answer
2nd Child/Dependent's DOB
Enter Month and Year of Birth [Month/Year] e.g. 08/1947.
Your answer
3rd Child/Dependent's Name
Enter First Name Middle Name Last Name
Your answer
3rd Child/Dependent's DOB
Enter Month and Year of Birth [Month/Year] e.g. 08/1947.
Your answer
4th Child/Dependent's Name
Enter First Name Middle Name Last Name
Your answer
4th Child/Dependent's DOB
Enter Month and Year of Birth [Month/Year] e.g. 08/1947.
Your answer
Next
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