Please pass this information on to all New Jersey Sleep Techs!!!
NJAST MEMBERSHIP APPLICATION
Please complete and mail along with your membership fee of $20
(Please make checks payable to NJAST)
to Neil Friedman, Treasurer at:
P.O. Box 3380
Mercerville, NJ 08619-0380
Or copy and email the application below to neil.friedman@atlantichealth.org and pay your membership fee of $20 using PayPal.
Application for Active Membership in NJAST
Name __________________________________________________ Check any
that Apply:
0 RPSGT
0 Technician/Trainee
0 RRT
0 REEGT
0 RN
0 ________
Address _____________________________________________________________
______________________________________________________________________
Town ____________________________________ STATE _______ ZIP_________
Home Phone (_____)__________________ Date of Birth __________________
First Year Working in Sleep __________
Email _______________________________________________________________
NJAST will attempt for all correspondence to be email.
The following information will only be used for General
Communication to the sleep community.
Employer ________________________________________
Work Fax (_____)____________________
Signature ________________________________________
Date __________________
0 $20.00 Active Membership Fee Enclosed
Mail Application and a check (payable to NJAST) in the amount of $20 to
NJAST
P.O. Box 3380
Mercerville, NJ 08619-0380
Click the PayPal icon to pay your membership dues using a credit card or PayPal account.
For More Information Contact: neil.friedman@atlantichealth.org