Your Name:       Date:      

   Organization: 

      Address 1: 

      Address 2: 

           City:         State:  

Zip/Postal Code:  

        Country: 

          Email: 

   Phone number: 

     Fax number: 

Please choose one of the following options:

  Individual Membership  ($ 75.00)

  Corporate Group Membership  ($ 175.00)
Includes 3 people from same corporation. Substitutions allowed.
*** Please add corporate member names to Comment text box below.
Individual memberships may be converted to Corporate Group Memberships.

  Enterprise Group Membership  ($ 450.00)
Includes 10 people from the same Corporation, or subdivision of same 'parent' Corporation at the same physical location. Substitutions allowed.
*** Please add enterprise group member names to Comment text box below.
Corporate Group Memberships may be converted to Enterprised Group Memberships.

  Vendor Membership  ($1,000.00)
Includes 10 people from the same Vendor company. Substitutions allowed.

 

  Update my membership information
Please add a note to the 'Comment Section' on the membership information you would like corrected.
Or if you want to be 'Added To' or 'Removed From' our emial distribution list. Thank You.

Mail this form, with your check, payable to DAMA New Jersey, to:

DAMA New Jersey
PO Box 7014
Watchung, NJ 07069-0799

Comments:

    Membership questions?
Send email to:
Membership VP