2019 Membership Application (Annual)
Annual Membership begins Jan. 1 and ends Dec. 31.
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Commercial Business (For-Profit)
Non-Profit (Membership-Based Association)
The Name of Your Organization/Institution
Your Delegate's Name
This person will be the official voting Delegate for JNCL representing the member organization. Delegates will receive official correspondence from JNCL, including advocacy action alerts and monthly updates.
For new members only, please provide your address.
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