PRINT JOIN MSMA

To apply for NJ-MSMA membership, complete the On-Line Membership Application below.

When complete, print and mail, along with your check made payable to MSMA, NJ Chapter , to Paul Jenssen, NJ-MSMA VP-Membership c/o
Datamation Systems 125 Louis ST, South Hackensack NJ 07606-1733

Please Select

New Membership Application Renewal Application

Individual - $75 / Year Corporate - Up To Three People - $175 / Year

Primary Member
Name:
Title:
Company:
Address:
City:
State:	Zip+4:
Telephone:	Ext.
Fax:
E-Mail:
Web Site URL:

Additional Member (If applicable)
Name:
Title:
Telephone:	Ext.
Fax:
E-Mail:

Additional Member (If applicable)
Name:
Title:
Telephone:	Ext.
Fax:
E-Mail:


Primary Business of Your Company
	Printing/Publishing	Direct Mktg./Mail/Catalog/Retail/Fulfillment
	Mnfg./Software Mnfg./Equip. Dealer	Government
	Lettershop/Presort Bureau/List Mgmt.	Utilities/Telephone
	Educational Institution	Transportation/Distribution
	Business Srvc./Mail & Parcel Store Busi.	Health Srvc./Hospital/Pharmacy
	Insurance	Assoc./Non-Profit/Religious/Social Srvc.
	Banking/Financial/Real Estate/Law	Consultant
	U.S. Postal Service	Other-Please specify below


Billing Contact (If different than Primary Member)
Name:
Title:
Company:
Address:
City:
State:		Zip+4:
Telephone:	Ext.	Fax:
E-Mail:

2002 Annual Membership Fees Individual - one person - $75 / Year Corporate - up to three people - $175 / Year
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