| Personal Information: |
| First Name:
Middle Initial: |
| Last Name:
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| Contact Address1:
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| Contact Address 2:
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| City:
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| State:
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| Phone:
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| Fax:
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| Cell:
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| Personal Email:
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Business Email: |
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Website:
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| Organization
Information:
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| Organization Name:
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| Job Title:
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| Organization address same as above
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| Contact Address1:
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| Contact Address 2:
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| City:
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Membership Information |
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Membership Type:
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Educational Category: check all that apply |
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Private
Public
Special Needs
Charter
Non-Profit
Home School
Government
Correctional
Facility
College
University
Adult School
Business
Other (Please
clarify) |
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Position:
Teacher
Administrator
Professor
Adjunct
Support staff
Other
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Grade/Age Group:
Pre
K K-6
6-8
9-12
College
Graduate School
Adult School
Senior Services
Youth Services
other |
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List Subject matter in which you teach, including but not limited to
Financial Education : |
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Category Exhibitor/Presenter: |
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Groups of interest to exhibit/present to: |
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Curriculum/Presentation Name: |
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Website: |
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Cost associated with usage of product: |
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Do you wish to be listed on the NJCFE website?
Yes
No |
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Target Groups: Check all that apply |
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Private
School
Public School
Special Needs
Charter School
Non-Profit
Home
School Government
Correctional
Facility/College
University
Adult School
Other (Please
clarify) |
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Teachers
Administrators
Professors
Adjuncts
Support staffs |
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Grade/Age Group: Pre
K K-6
6-8
9-12
College
Graduate School
Adult School
Senior Services
Youth Services
other |
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Category Sponsor: |
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Institution Type:
Bank
S&L
Credit Unions
Business
Foundation
Non-Profit
Educational
Institution Government Other
(Please clarify) |
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Payment
Information |
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Optional Dues:
$45 |
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| Donation:
$10
$25
$50
100,
250,
500,
750,
1000,
5000
Other |
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Bronze, Silver, Gold & Platinum Sponsorships
are available and include the following:
Logo at all events on our sponsorship board,
listing on the website, special recognition at the Fall Symposium.
Silver – 2 tickets to the Fall Symposium
luncheon and a ½ page ad in all NJCFE ad books.
Gold-1 table to the Fall Symposium luncheon and
a full page ad in the NJCFE ad books
Platinum – same as gold, and inside front, or
inside back or back cover.
Check Here if
you would like us to contact you about one of our special
sponsorships or call us at 609-306-3810 for more infomation. |
| Check |
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Check Payable to the
NJ Coalition for Financial Education |
| Please
insert check number here:
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NJCFE
308 West State Street
Trenton, NJ 08618 |
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Invoice
me please to the address listed above:
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| Credit
Card |
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MasterCard |
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VISA |
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AmEx |
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| Total Amount
Paid: $ |
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| Card #
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Expiration
Date: |
| Name on
Card |
Security
Code |
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(3 digits on back of card) |
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| Type Your
Name as your consent to process this credit card:
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