YPJC New Member Application

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Email *

Please fill out the following application to become a member of Young Professionals of Jasper County. A member of the Young Professionals of Jasper County will follow up with your application to the email you provide below.

Full Name: *

Email: *

Address: *

City: *

State:

Zipcode:

Phone:

What type of number is this?

Home Phone

Cell Phone

Work Phone

Your Employer:

Your Title:

Membership Dues

Membership dues for YPJC are $20.00. Membership to YPJC gives a reduced rate to events and a subscription to our newsletter. Membership is non-transferable.

You may bring your membership dues to the first meeting you attend.

Please make your checks payable to Newton Development Corp.

Send me a copy of my responses.

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