JCNJ - Member Registration

Application for Membership *

New Membership

Renewal of Membership

Title *

First Name *

Last Name *

Profession *

Email *

Cell Phone Number *

Will a spouse be added to the membership? *

Yes

No

Address *

Street Address 1 *

Street Address 2 *

City *

State / Province *

Postal / Zip Code *

Any Unmarried Children to add to the membership *

Yes

No

FirstChildTitle

First Child's Name *

First Child's Birthday *

Another Child to add to the membership *

Yes

No

SecondChildTitle

Second Child's Name *

Second Child's Birthday *

Another Child to add to the membership *

Yes

No

ThirdChildTitle

Third Child's Name *

Third Child's Birthday *

Membership Term *

Life - $501

Five Year - $201

Annual - $51 (Jan-Dec)

Jain Center of New Jersey, any sponsors, and/or members of the Jain Center of New Jersey are not responsible for any damages, loss of personal property, injury of any kind, or any kind of liabilities resulting from participation in Jain Center of New Jersey Programs (on or offsite).

There are multiple ways to submit your membership dues. You can submit your dues by one of the following methods:

Pay By Zelle - You can submit your dues through Zelle by sending the funds to the finance@jaincenternj.org.
Pay By Check - Make a check payable to Jain Center of New Jersey and mail it to:
1. Jain Center of New Jersey
  Attn: Membership Committee
  111 Cedar Grove Ln
  Franklin Township, NJ 08873
Pay In Person - If visiting Munisuvratswami Jinalay you can hand over cash or your check to someone in the Pedhi
Pay By Credit Card

Which method of payment do you intend to use to fulfill your membership dues? *

Zelle

Pay in Person

Check Mailed

Credit Card

Signature *

Member Registration

JCNJ Membership Form