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*First name

*Last name

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Please select the most appropriate membership subcategory.

*e-Mail

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Title

Organizational Title

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Secondary e-Mail

Tertiary e-Mail

*Donation ($USD)

Custom Amount

Benefactor - Silver $500.00 (USD)

Benefactor - Gold $1,000.00 (USD)

Benefactor - Platinum $2,500.00 (USD)

Donations of any size are welcome. Donations less than $500 will result in recognition on the NJAS website as "Donors". Donors contributing $500 or more will be designated as Benefactors and acknowledged as such in the Bulletin.

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