NJ CAMA Membership Application

Please complete the entire form below. Mail your membership form to:

NJ CAMA
P.O. Box 7212
Princeton, NJ 08543

along with payment information. Make checks payable to NJ CAMA.

Membership Category

Individual	$100.00	One member representative.
Company	$225.00	Up to five member representatives; complete the "Member Information" section below.
Corporate	$425.00	Unlimited representatives; complete the "Member Information" section below.
Student	$25.00	Student ID is required. Send a photocopy of ID with your check.

Payment Information

Check Enclosed
Credit Card	Card Nbr:
	ExpDate:

Member Information

The information you list below will appear in the NJ CAMA Directory. Please be sure the information provided is accurate and up-to-date. Information will be printed as it appears below! Company and Corporate members are asked to designate one person in the firm as the NJ CAMA primary contact.

Primary Contact

Name of Firm:
Street Address:
P.O. Box:
City:
State:
Zip:
Phone (with area code):
Fax (with area code):
E-Mail Address:
Website:
Primary Contact:
Title:

Brief Description of Business

Secondary Contacts

Name:
Title:
Phone (with area code):
E-Mail Address:

Name:
Title:
Phone (with area code):
E-Mail Address:

Name:
Title:
Phone (with area code):
E-Mail Address:

If you have any questions regarding NJ CAMA membership, please send a detailed e-mail to ksmith@njha.com or call Jen Witte at (609) 275-4123