Please encourage all New Jersey Sleep Techs to join NJAST!!!

NJAST MEMBERSHIP RENEWAL APPLICATION

Please complete and mail along with your membership fee of $20

(Please make checks payable to NJAST)

to Jon Gray, Treasurer at:

P.O. Box 3380

Mercerville, NJ  08619-0380

 

Or copy and email the application below to jgray@sleepcarecenter.com and pay your membership fee of $20 using PayPal.

 

Click the PayPal icon to pay your membership dues using a credit card or PayPal account.

 

 

Application for NJAST Membership Renewal

Please submit 2008 dues by 4-1-08

Name 

Credential

Address    

City                                 STATE                            ZIP

Home Phone          

Email address          

Employer                                

Work Phone                            

Work Fax 

One year membership renewal  4-1-08 through 3-31-09

Renew via Paypal (see the website at www.njsleep.com)  or

$20 Click the PayPal icon to pay your membership dues using a credit card or PayPal account.

 

OR Mail Application and a check in the amount of $20 to

NJAST

P.O. Box 3380

Mercerville, NJ  08619-0380

 

For More Information Contact:  jgray@sleepcarecenter.com
Telephone:   609-351-3129