NJ Group of Small Chemical Businesses - Member Application Form

American Chemical Society

Meetings

Membership Application Form

Please take this opportunity to become a member of the American Chemical Society’s New Jersey Group of Small Chemical Businesses. Our current membership year is September 1, 2007 to August 31, 2008. Join now and enjoy all the benefits of this valuable organization, including the discounted member cost for the our bi-monthly meetings. Visit our web site and see all the events planned for the year.

We encourage you to consider becoming a Corporate member. This brings you the added benefits of top listing on our Web Site Membership Directory, and to bring your employees to meetings at the discounted member dinner price.

Please check the appropriate membership category. After clicking the submit button, the reply screen will include a link to PayPay for you to pay the membership fee.

Two types of annual membership are available:

Individual: $ 40 - For Individual membership.
Corporate: $100 - All employees of a company are entitled to the benefits of membership, and you will have top listing on our Web Site Membership Directory
All membership runs from September 1 to August 31 of the following year

Name:	(required)
Company:	(required)
Street Address:
City, State Zip:	, (required)
Phone:	(required)
E-Mail:	(required)
Membership Type:	(required)
Membership Directory Listing:
If you answered Yes to the last question, please complete the following: If you would like to provide this information at a later date, just email us with the data using the Contact Us button in the left margin.
Listing Caption:	Example: (use all caps) CHEMICAL PRODUCT MARKETING SUPPORT
Listing Text:	Example: Chemical additives, biocides, pigments and epoxy materials used in coatings, adhesives, construction and the printing inks industries. We help manufacturers increase sales with advertising and marketing communications, direct sales, and the preparation of regulatory documentation
After submitting your application, if you cannot complete payment at this time, you may visit our Membership Payment Form later to make payment.

Rhoda Kriesel, Membership Director, E-Mail