JCNJ Membership Form

New MembershipRenewal of Membership

Current Membership ID

If you know your current membership ID, please provide it.

Title*

First Name*

Enter First Name of Primary Member of Family

Last Name*

Enter First Name of Primary Member of Family

Profession*

Enter Primary Profession

Home Phone Number

Please enter a valid home phone number.Format: (000) 000-0000.

Cell Phone Number*

Please enter a valid cell phone number.Format: (000) 000-0000.

Email*

example@example.com

YesNo

Title

Spouse's First Name

Enter First Name of Spouse

Spouse's Last Name

Enter Last Name of Spouse

Spouse's Profession

Enter Primary Profession

Cell Phone*

Please enter a valid cell phone number.Format: (000) 000-0000.

Email*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

YesNo

First Child's Name

First Child's Birth Year

YesNo

Second Child's Name

Second Child's Birth Year

YesNo

Third Child's Name

Third Child's Birth Year

FamilyIndividual

Life - $501Five Year - $201Annual - $51 (Jan-Dec)

Jain Center of New Jersey, any sponsors, and/or members of the Jain Center of New Jersey are not responsible for any damages, loss of personal property, injury of any kind, or any kind of liabilities resulting from participation in Jain Center of New Jersey Programs (on or offsite).

There are multiple ways to submit your membership dues. You can submit your dues by one of the following methods:

Pay By Zelle - You can submit your dues through Zelle by sending the funds to the finance@jaincenternj.org.
Pay By Check - Make a check payable to Jain Center of New Jersey and mail it to:
1. Jain Center of New Jersey
  Attn: Membership Committee
  111 Cedar Grove Ln
  Franklin Township, NJ 08873
Pay In Person - If visiting Munisuvratswami Jinalay you can hand over cash or your check to someone in the Pedhi

ZelleCheck MailedPay in Person

Signature*