SOUTH JERSEY 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:

                                                          southjerseyapa@gmail.com

 

  Please email this application to: southjerseyapa@gmail.com and the 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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