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:
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
61 Warren Street
Beverly, NJ 08010
To complete form and pay online please:
*Online payment includes a $2.00 processing fee
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