NPSNJ Membership Application

The Native Plant Society of New Jersey

c/o Office of Continuing Professional Education

Cook College· 102 Ryders Lane

New Brunswick, NJ 08901-8519

Date ______________________________________________________________

Name_____________________________________________________________

Address___________________________________________________________

City, State Zip______________________________________________________

Phone_____________________________________________________________

Email_____________________________________________________________

Annual Dues :

( ) Student $ 5.00 ( ) Non-Profit Organization $ 25.00 _______ Renewal

( ) Individual $ 20.00

( ) Family $ 25.00 ( ) Corporate $ 50.00 _______ New Member

Membership runs a calendar year

Please make checks payable to NPSNJ

Mail Check and completed Membership Application to:

NPSNJ

102 Ryders Lane

New Brunswick, NJ 08901-8519

I am interested in participating in the following chapter:

1 Central Chapter (Jackson)

1 Highland Park Regional Chapter (Highland Park)

1 North Chapter (East Hanover)

1 South Chapter (Westampton)

1 Union County Chapter (Summit)

1 I am interested in starting my own chapter in ____________________________________________________________________________________________________________________________

1 None

Tell us how we can better serve you, email us at president@npsnj.org