Welcome.
To obtain your competition Identification Number please answer the following questions.
Choose one of the following:
I am a member of the NJ Ad Club and have paid my membership fee.
I am a member and have not paid my membership fee.
1. Individual membership ($150.00)
2. Corporate membership ($450.00)
I am not a member and wish to join.
1. Individual membership ($150.00)
2. Corporate membership ($450.00)
I wish to enter the competition as a non-member.
I am a Student in New Jersey
(Member)
I am a Student in New Jersey
(Non-Member)
Self Promo Signage (AwardsDinner)
I wish to reserve space for company signage at the Awards dinner.
Members: ($150)
Non-Members: ($250)
Yes
No
Company Information
Firm:
(School for students)
Contact Person:
(Student's Name)
Title:
Email:
Address:
City:
State:
ZIP Code:
Phone (XXX-XXX-XXXX):
Fax (XXX-XXX-XXXX):
If you have choosen to join the NJ Ad Club, fill out the following, if not or you are a member SKIP this section:
If you wish to register additional members, please fill in all three pieces of information (name, title and email) for each additional member. Corporate members are allowed up to three additional members.
Additional Member
Name:
Title:
Email:
Additional Member
Name:
Title:
Email:
Additional Member
Name:
Title:
Email:
THE NEW JERSEY ADVERTISING CLUB | 199 PROSPECT AVENUE | NORTH ARLINGTON | NEW JERSEY | 07031 | 201.998.5133