Please choose one of the following options:
Individual Membership ($ 75.00)
Corporate Group Membership ($ 175.00)
Includes 3 people from same corporation. Substitutions allowed.
*** Please add corporate member names to Comment text box below.
Individual memberships may be converted to Corporate Group Memberships.
Enterprise Group Membership ($ 450.00)
Includes 10 people from the same Corporation, or subdivision of same 'parent' Corporation at the same physical
location. Substitutions allowed.
*** Please add enterprise group member names to Comment text box below.
Corporate Group Memberships may be converted to Enterprised Group Memberships.
Vendor Membership ($1,000.00)
Includes 10 people from the same Vendor company. Substitutions allowed.

Payment Method:
CHECK [ ], AMEX [ ], Diners Club [ ], Master Card [ ], Visa [ ].
Name of credit card holder:
___________________________________________________________
Is credit card billing address the same as listed above? YES [ ] No [ ]
If NO - please include the credit card billing address, city, state, zip:
____________________________________________________________________________
Card Number:
__________________________________________________________
Expiration Date:
_____________________
Signature of Cardholder:
__________________________________________________________
CHARGES WILL NOT BE ACCEPTED WITHOUT SIGNATURES!!!!
Mail this form with your check or, this form with completed credit card information, payable to DAMA New Jersey, to:
DAMA New Jersey
PO Box 7396
Watchung, NJ 07069
