NJUA APPLICATION FOR ASSOCIATE MEMBERSHIP

NJUA APPLICATION FOR ASSOCIATE MEMBERSHIP
Organization name
Address
Referred by (NJUA Board member)
Business type/ Utility affiliation
Primary contact
Title
Primary Contact Address
Fax
E Mail
example@example.com
Organization's Web Address
Committees of Interest Check all that apply: *Please be advised that from time to time committee meeting attendance may be restricted to utility company members. This would be the exception, not the rule

Customer ServiceCommunicationsEnvironmentalOperationsSafety & Health
SIGNATURE

Clear
DATE

MonthDayYear
Date
Once your application is received, your organization's request for membership will be submitted to the NJUA Board of Directors for approval. Upon approval, you will be invoiced for annual dues which are $1260. Dues for new associate members will be payable upon receipt of invoice and will be prorated accordingly. Thereafter, Annual Dues are invoiced late in the fourth quarter and are due in January. Please send us your company logo to njua_staff@njua.com.
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