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Membership Application

Associate Membership

Type of Request*

Initial (Initiation Fee $10.00)

Desired Username*

Desired Password*

Renewal

**Please note - Lapsed memberships will be charged a Reinstatement Fee of $10.00**

Username*

Password*

Forgot Username or password?

Name*

Address

City

State

Zip + 4

Phone* 999-999-9999

Email* xx@xx.xx

DOB

Type of Membership:

Regular Associate Member (familial)

Related to Former Trooper

Badge#*

Relationship*

Spouse

Son

Daughter

Step-son

Step-daughter

Parent

Sibling

Grand-Child

Civilian Associate Member

Date of Employment NJSP*

Date Retired NJSP

Active Enlisted Associate Member

Badge #*

Name(s) of Children / Grand-Children

I hereby make application for Associate Membership in the Association of Former New Jersey Troopers, Inc., in accordance with the Constitution and By-Laws of the Association.

Dues*

1 year: $40.00

3 years: $110.00

Fees

Initiation Fee $10.00

Reinstatement Fee $10.00

Total Amount Due

Payment*

PayPal or Mail a check

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This Web Site is published by the Association of Former New Jersey State Troopers, Inc., for the expressed knowledge and benefit of its members. The reuse, republish, or reprint of information contained herein is prohibited without prior written consent! While the information published has been verified to the best of our abilities, we cannot guarantee that there are no mistakes or errors. Please check the site often for updates.

Association of Former New Jersey State Troopers
P.O. Box 7852
West Trenton, NJ 08628
Office Phone: (609) 882-2000 X 2220