AFTJ, Inc. Membership Form 2008-9
Please print out this form and return it with your payment. Thank you.
ANNUAL AFTJ, Inc. Membership Dues: for September 2008 - August 2009 Membership
(Please check one)
____ Annual AFTJ Membership Dues - $25.00
____ Annual AFTJ Membership Dues and NCJLT Membership - $40.00
(this payment is due by November 1, 2008)
____ Annual Supporter Dues - $10.00
____ Annual Student Dues - $5.00
Name: _________________________________________________________
Address: _______________________________________________________
City: _____________________________ State: ________ Zip: ___________
Home Phone: (____) ______________ Home Fax: (____) ________________
E-Mail: ____________________@_____________________
School/Business Name: ___________________________________________
Address: _______________________________________________________
City: _____________________________ State: ________ Zip: ____________
Business Phone: (____) _______________
For students, please have your teacher/professor verify your status with a signature
below:
Student status verified by: _______________________________
Signature: __________________________________
Please accept your cancelled check as receipt for your membership.
Please make your check payable to AFTJ and submit to:
Marci Muench
AFTJ President/Treasurer
22024 Flanders Court
Boca Raton, FL 33428
Please print out this form and return it with your payment. Thank you.
ANNUAL AFTJ, Inc. Membership Dues: for September 2008 - August 2009 Membership
(Please check one)
____ Annual AFTJ Membership Dues - $25.00
____ Annual AFTJ Membership Dues and NCJLT Membership - $40.00
(this payment is due by November 1, 2008)
____ Annual Supporter Dues - $10.00
____ Annual Student Dues - $5.00
Name: _________________________________________________________
Address: _______________________________________________________
City: _____________________________ State: ________ Zip: ___________
Home Phone: (____) ______________ Home Fax: (____) ________________
E-Mail: ____________________@_____________________
School/Business Name: ___________________________________________
Address: _______________________________________________________
City: _____________________________ State: ________ Zip: ____________
Business Phone: (____) _______________
For students, please have your teacher/professor verify your status with a signature
below:
Student status verified by: _______________________________
Signature: __________________________________
Please accept your cancelled check as receipt for your membership.
Please make your check payable to AFTJ and submit to:
Marci Muench
AFTJ President/Treasurer
22024 Flanders Court
Boca Raton, FL 33428
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