NJSIA - Membership Application

Please read, type in the required information and print the following NJSIA Membership Application on this web page (or Download Word Document Membership Information & Application).

I hereby apply for membership/reinstatement to the New Jersey Special Investigators Association and agree to abide by the by-laws of the organizations. Enclosed are appropriate fees (Read Membership page for Fee details).


New Application = $50 ($25 Dues + $25 Administrative/Processing Fee) Renewal before February 28th = $25 Reinstatement after February 28th = $50 ($25 Dues + $25 Administrative/Processing Fee)
Name:
Home Address:

Day Phone:
E-Mail Address:
Company:
Company Address:
Job Title:
Exact Nature of Duties:
Sponsor name:
Sponsor remarks:

Signature of Applicant:
Date:

ALL areas above require the correct information submitted.

NOTE: We do NOT release our membership information or email addresses to any other outside organizations! Please read our Legal Privacy Policy. DO NOT MAIL WITH OR INCLUDE WITH YOUR SEMINAR REGISTRATION

To apply for membership: Please type in the information, PRINT this page from your browser, make sure boxes are checked, sign and mail with an enclosed check, made payable to NJSIA, to:

NJSIA Membership Committee
931 Raritan Avenue
Manville, NJ 08835

Note: Choose print range 1-of-1 pages for most browsers.