Membership Form
Please print out the form below and after filling it out fax it to the Alliance for Action office, (732) 225-4694.
For Categories and Annual Dues Scroll the Page Down or Go Here.
 
     New Jersey Alliance for Action Membership Form     
Company/Organization
Address
County
City State Zip
Telephone Fax
Principal Representative
Title
Address(if different than above)
County
City State Zip
Telephone Fax
E-mail Web Site Address
Catagory (For List Go Here)
Annual Dues
Credit Card
Credit Card Number
Expiration Date
Signature

JOIN THE NJAFA TEAM
Associations Annual Dues Financial Institutions Annual Dues
Over $500,000. (Annual Budget)
250-500,00
100-249,000
Less than 100,000		 $6,000
3,600
1,200
600		 Over $1 Billion (Assets)
1/2 - 1 Billion
50 Million - 1/2 Billion
Below 50 Million		 $6,000
3,600
1,800
600
Contractors Annual Dues Labor Annual Dues
Over $50 Million. (Revenue)
35-50 Million
20-34 Million
5-19 Million
2-4 Million
Less than 2 Million		 $5,000
3,600
2,700
1,800
900
600 		State
County
Local 		$6,000
1,200
600
Corporations Annual Dues Legal Firms Annual Dues
Over $1 Billion. (Sales)
1/2 - 1 Billion
50 Million - 1/2 Billion
Below 50 Million 		$6,000
3,600
1,200
600 		Over 15 (Attorneys)
6-14
1-5 		$2,400
1,200
600
Developers Annual Dues Professionals (Engineers, etc.) Annual Dues
Over $1 Billion. (Revenue)
1/2 - 1 Billion
50 Million - 1/2 Billion
Below 50 Million 		$6,000
3,600
1,200
600 		Over $3 Million (Billings)
2.1-3 Million
1.1-2 Million
3/4-1 Million
Below 3/4 Million 		$1,800
1,200
1,000
750
600
Equipment Dealers/Suppliers Annual Dues Public Agencies Annual Dues
Over $50 Million. (Sales)
25-50 Million
15-24 Million
Under 15 Million 		$1,800
1,500
1,200
600 		County
Municipality
Authorities:
 Regional
 Local
Educational Institutions 		$1,200
600

1,200
600
600

Note: Pursuant to IRS Regulations:
Contributions to the NJ Alliance for Action are not tax deductible as chariitable contributions. However, they may be tax deductible as ordinary and necessary business expenses.

Copyright © 2003
New Jersey Alliance For Action
P.O. Box 6438, Fieldcrest Avenue
Raritan Plaza II, Raritan Center
Edison, New Jersey 08818-6438
Office: (732) 225-1180    Fax: (732) 225-4694
All Rights Reserved. Reproduction in whole or in part
in any medium without express written permission is prohibited.