*required information
| All NJEF event are Monthly meetings : |
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| First Tuesday of which month? *: |
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| Your Company: | |
| First Name*: | |
| Last Name*: | |
| Title: | |
| Address*: | |
| City*: | |
| State*: | |
| Zip*: | |
| Work Phone*: | |
| Work Ext: | |
| Fax: | |
| Email*: | |
| Home Phone: | |
| Cell Phone: | |
| Each Participant must register separately : |
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| List Names: | |
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How did you hear about NJEF ?: |
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| Have you registered for a prior an NJEF program?: |
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Do you want to subscribe to our email List serv?: |
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| Payment Method. Make check payable to NJEF, Inc. *: |
Veteran discount for only those serving Active Duty since 2001. |