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					                                                                                                    127 US Highway 206, Suite 28 ♦Hamilton, NJ 08610-4300
                                                                                                                  (Tel) 609.581.2121 ♦ (Fax) 609.581.6749
                                                                                                                                          www.njawbo.org
                                                                                                                                  membership@njawbo.org
APPLICATION FOR MEMBERSHIP

First Name: _______________________________________________________ Middle Initial: _______________
Last Name: _______________________________________________________ Suffix: _____________________
                                                                                                                                (i.e. CPA, MD, ESQ., RN, PhD)
Company Name: ______________________________________________________________________________
Street Address: _______________________________________________________________________________
                     (will not be displayed on web site)
Mailing Address: ______________________________________________________________________________
                        (if different from above-displayed on web site)
City: ________________________________________________ Zip + 4: ________________________________
Business Phone: ___________________________________ Business Fax: ________________________________
Web site URL: ____________________________________ Email Address: ______________________________
Chapter Affiliation Choice: ______________________________________________________________________
Are you interested in information on Women’s Business Center free Classes? Y    N
                                                                  MEMBERSHIP CATEGORY

 □    Active           $ 235                                          □    Associate               $ 335              □     Retired/Full-Time Student $ 155
      Registration Fee $ 25                                                Registration Fee        $ 25                     Registration Fee          $ 25
      Total Due        $ 260                                               Total Due               $ 360                     Total Due                 $180

    See reverse side of application for definitions/requirements. Proof must be proof must be provided for full-time students. Fees are NON-Refundable!

□Check payable to NJAWBO                             □ MasterCard                  □ VISA                   □ AMEX                  □ Discover
Card #: _____________________________________________ Expiration Date: _________________________
Card Holder Name: ____________________________________ Signature: ______________________________
Mailing Address of the Card Holder (if different from the above) ____________________________________________
Entity: □ Sole Proprietor □ Partnership □ Corporation □ S Corp □ LLC □ Undetermined
Type: □ Retail             □ Service         □ Manufacturing              □ Distribution

   Is your business 51% woman-owned?                                      Y N             Are you certified as a vendor for any
   Do you own at least 20%                                                Y N                set-aside procurement programs?                      Y       N
   Are you an Independent Contractor?                                     Y N             Year business started or acquired?                      ________
   Is your business home-based?                                           Y N             Number of full-time employees                            ________
   Do you do business internationally?                                    Y N             Number of part-time employees                           ________
Business Classifications: ________________________________________________________________________
                                   (Choose up to a maximum of four numbers listed on reverse; please write in, if no category number exists)
Business Description: __________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
How did you find out about NJAWBO? ____________________________________________________________
If a current member encouraged you to join, please name the member: ____________________________________
                                                                                                                                                                                                       127 US Highway 206, Suite 28 ♦Hamilton, NJ 08610-4300
                                                                                                                                                                                                                     (Tel) 609.581.2121 ♦ (Fax) 609.581.6749
                                                                                                                                                                                                                                             www.njawbo.org
                                                                                                                                                                                                                                     membership@njawbo.org
   QUALIFICATIONS FOR MEMBERSHIP

   NJAWBO offers Active, Associate and Full-Time Student memberships for new members. Membership shall be held by

   1. ACTIVE (VOTING) – A woman who (1) holds an ownership                                                                                                                                3. STUDENT (NON-VOTING) – a) Individuals who subscribe
      interest in a for-profit business, (2) maintains a place of business                                                                                                                   to the objectives of the Corporation and are currently attending
      for the business. (3) substantially manages or works in the busi-                                                                                                                      a post secondary educational institution and are not presently
      ness, and (4) derives her major earned income form the business.                                                                                                                      Business owners, on an undergraduate, full time basis, and have
      Ownership interest shall be either sole proprietorship, general                                                                                                                        presented to the Membership Committee evidence of a validat-
      partners in a general partnership; or corporate shareholders who                                                                                                                       ed registration form from that institution proving full time status
      exercise the power to make major policy decisions and are active-                                                                                                                      b) Individuals who subscribe to the objectives of the Corpor-
      ly involved in the overall management.                                                                                                                                                ation and are currently attending an educational institution on a
                                                                                                                                                                                             post-graduate basis and are not presently business owners, and
   2. ASSOCIATE (NON-VOTING) – Individuals who support the                                                                                                                                   have presented to the Membership Committee evidence of
      objectives of the Corporation but do not meet the criteria for a                                                                                                                       a validated registration form from that institution proving full
      voting class member.                                                                                                                                                                   time status.

Accountants .................................................................. 055        Cosmetics ......................................................................285          Health Care .................................................................... 510     Pet Care …………………………………………………………….……………..750
Accounting & Tax Services ........................................... 060                 Counseling .................................................................... 290          Healthcare Equipment.................................................... 513             Pharmaceutical Services Consultant …………………...…….… 752
Administrative Services ............................................... 065               Daily Money Manager..................................................... 297                 Health/Exercise/Fitness ............................................... 515              Phone Sales/Service………………………………………………………..754
Advertising .................................................................... 070      Decorative Arts ............................................................ 298             Home Furnishings/Accessories ................................... 520                     Photocopying……………………………………………………………………..755
Advertising Specialties ................................................. 075             Delivery/Courier/Messenger ...................................... 300                        Hotels/Motels/B&B ...................................................... 525             Photography………………………………………………………………………760
Alternative Health ......................................................... 080          Dentists ........................................................................ 305        Human Resources ......................................................... 530            Physical Therapy……………………………………………………………….763
Animal Services/Livestock........................................... 085                  Desktop Publishing ........................................................ 310              Import/Export............................................................... 535         Physicians………………………………………………………………………….765
Answering Services ...................................................... 090             Diet/Nutrition .................................................................315          Industrial Distribution................................................... 540           Pre-School…………………………………………………………………………770
Antiques………………………………………………….. ..................... 095                                   Direct Marketing........................................................... 320              Information Services .................................................... 545            Printing………………………………………………………………………………775
Apparel ........................................................................... 100   Distributors ………………………………………………………………….325                                                   Insurance ...................................................................... 550     Property Mgmt/Building Services…………………………………..780
Apparel Accessories ...................................................... 102            Dolls/Doll Accessories …………………………..……………………335                                               Interior Design .............................................................. 555       Psychological Services…………………………………………………….790
Appraisals/Auctioneers ................................................ 105               Dry Cleaning ..................................................................340           Interior Remodeling ...................................................... 560           Public Relations………………………………………………………………..795
Architects ....................................................................... 110    e-Commerce/Internet Services ................................... 345                         Interior Space Planning ………………………………………………565                                            Public Speaking…………………………………………………………………800
Art/Galleries .................................................................. 115      Editorial Services ......................................................... 350             Investments .................................................................. 570       Publishers…………………………………………………………………………805
Artisans/Crafts…………………………….…………………………….....117                                            Educational Services .................................................... 355                Jewelry ......................................................................... 575    Real Estate………………………………………………………………………...810
Association Services……………………………………………………..120                                             Eldercare Providers/Resources ................................. 360                          Keynote Speaker ........................................................... 580          Research………………………………………………………………………..….815
Attorneys ....................................................................... 125     Electrical Contractor ................................................... 363                Landscape Design ......................................................... 585           Restaurants………………………………………………………………………820
Audio Visual Services/Production ................................ 130                     Electronics.................................................................... 365          Lawn Service ................................................................. 590       Résumé Services……………………………………………………………..822
Auto Rentals/Sales/Service ......................................... 135                  Embroidery/Monogramming/Needlework ................... 370                                   Legal Services............................................................... 600        Retirement Planning…………………………………………………........825
Awards/Trophies ........................................................... 140           Employee Benefits ......................................................... 375              Library Services ........................................................... 605         Risk Management Consulting…...............................................830
Banking........................................................................... 145    Employment Agencies/Executive Search .................... 380                                Limousine/Taxi Services ............................................... 615              Rubbish/Recycling Services……………………………………………835
Beauty/Wardrobe Consultants ..................................... 150                     Engineers...................................................................... 385          Loan/Mortgage Consultant ........................................... 620                 Safety Consultants ………………………………………………………….840
Beverage/Refreshment Services………………………. ……….153                                           Engraving/Etching/Embossing ................................... 390                          Magazine Subscriptions ................................................ 630              Safety Products………………………………………………………………..842
Book Sales ..................................................................... 155      Entertainment ............................................................... 395            Mail Order ..................................................................... 635     Sales………………………………………………………………………………….845
Bookkeeping Services.................................................... 160              Environmental Services ............................................... 400                   Mailing Services ............................................................ 640        Screen Printing…………………………………………………………………850
Brokerage ...................................................................... 165      Equipment Sales & Service ...........................................405                     Management Consultants ............................................. 645                 Search Engine Marketing…………………………………………………853
Builders/Developers ..................................................... 170             Ergonomics………………………………….. ……………………………….410                                                   Manufacturing ............................................................... 650        Security Systems Sales/Service/Maintenance…………....855
Building Materials .......................................................... 175         Exhibits & Displays/Display Graphics ............................ 415                        Market Research ……………………………..………………………….653                                              Signs…………………………………………………………………………………860
Business Advisory Service ............................................ 180                Fashion/Jewelry Design ............................................... 420                   Marketing ...................................................................... 655     Spa Services ………………………………..………………………………….863
Business Consultants .................................................... 185             Financial Planning .......................................................... 425            Marketing Communications .......................................... 660                  Speech Training………………………………………………………………..865
Business Forms……………………………….…………………………….190                                                Financial Services .........................................................430              Massage Therapy .......................................................... 665           Stock Brokers……………………………………………………………………870
Business Services ......................................................... 195           Florist/Plant Care ......................................................... 435             Material Handling .......................................................... 668         Stone/Marble/Granite……………………………………………………..875
Cabinetry & Design ....................................................... 200            Flowers - Silk/Dried/Artificial ..................................... 440                    Mediation Services........................................................ 670           Swimming Pool Supplies………………………………………………….880
Candy/Confections ........................................................ 210            Food Service Equipment ................................................ 445                  Medical Profession Support Services .......................... 672                       Telecommunications…………………………………………………………885
Career Management ...................................................... 215              Food/Beverage Distributor ..........................................450                      Medical/Surgical Supplies ............................................ 675               Telemarketing…………………………………………………………………890
Carpet Specialists ........................................................ 220           Framing.......................................................................... 455        Mortgage/Mortgage Brokers ……………………..………..…….680                                          Toys/Toy Shops………………………………………………………………..895
Catering Services ......................................................... 222           Franchise Management ................................................. 457                   Moving/Relocation ........................................................ 685           Training…………………………………………………………………………….900
Child Care Providers/Resources................................. 225                       Fulfillment ...................................................................... 459       Non-Profit ..................................................................... 690     Transcription Services…………………………………………………….905
Chiropractic Care ......................................................... 230           Fund Raising/Grant Writing ......................................... 460                     Notary ........................................................................... 693   Translation…………………………………………………………………………910
Cleaning Services/Supplies ......................................... 235                  Furniture........................................................................ 465        Nursing Services .......................................................... 695          Transportation…………………………………………………………………..915
Coaching/Training ........................................................ 240            Gift/Fruit Baskets …………………………….………………………….470                                                Office Rentals ................................................................ 700      Travel/Tourism…………………………………………………………………920
Collection Services ....................................................... 245           Gifts ................................................................................ 471   Office Supply/Equipment .............................................. 705               Tree services……………………………………………………………………922
College Admissions & Planning……………………….. ………….246                                         Gourmet & Specialty Foods ........................................... 473                    Office Support/Secretarial Services ............................ 710                     Typesetting……………………………………………………………………….925
Computer Hardware Sales & Service .......................... 248                          Government Agencies ................................................... 475                  Organizing Services ....................................................... 715          Uniforms……………………………………………………………………………930
Computer Supplies ....................................................... 250             Government Sector Consultant .................................... 477                        Packing/Packaging Supplies ........................................ 720                  Utility Company………………………………………………………………..935
Computer Trainers ....................................................... 255             Graphic Arts/Design .................................................... 480                 Paper Hanging/Painting ............................................... 730               Water/Air Purification……………………………………………………940
Computers/Technology Consultants ........................... 260                          Hair Care/Replacement ............................................... 490                    Party Goods/Planning .................................................. 735              Web Design/Website Hosting…………………………………………..945
Concierge Services ...................................................... 265             Hardware Products……………………………..…….…………………495                                                  Payroll Services …………………………………………………………..738                                             Wholesale Trade……………………………………………………………….955
Conference/Event Planning ......................................... 270                   Healing Arts ...................................................................498          Pension Consultants ..................................................... 740            Word Processing………………………………………………………………960
Construction/Contractors ........................................... 275                  Health & Safety............................................................. 500             Personal Care Products/Services ............................... 743                      Writers………………………………………………………………………………965
Copywriting ................................................................... 280       Health & Wellness ......................................................... 505              Personal Chef Services …………………………..…………...........745

				
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