SOUTH JERSEY 2019 MEMBERSHIP APPLICATION
SOUTH JERSEY CHAPTER
American Payroll Association
CHAPTER MEMBERSHIP APPLICATION
CALENDAR YEAR: _______________________________________________
NAME: _________________________________________________________________________________________
TITLE: _________________________________________________________________________________________
COMPANY: _____________________________________________________________________________________
ADDRESS: ______________________________________________________________________________________
CITY: ___________________________________________________________________________________________
STATE: ______________________________________________________________
ZIP CODE: ___________________________________________________________
PHONE #: ______________________________________________________________________________________
EMAIL: __________________________________________________________________________________________
Are you a National APA Member? Yes: _____ No: _____
APA MEMBER ID: _______________
Are you a Certified Payroll Professional? Yes: ____ No: ____
Do you have your Fundamental Payroll Certification? Yes: ____ No: ____
If you have any questions or concerns, please email us at:
Please email this application to: southjerseyapa@gmail.com and the 2019 membership fee of $30.00 pay thru PayPal or mail check to:
South Jersey Chapter – APA
36 Cherry Blossom Dr.
Monroe, NJ 08831
To complete form and pay online please:
*Online payment includes a $2.00 processing fee
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