New Member Application

Application & Renewal

ANNUAL MEMBERSHIP(expires 12/31/2012): $75.00 Per Person (Membership is by individual basis only and not transferable)
FULL TIME STUDENT MEMBERSHIP: $20.00 (Vaild from Jan. 2012- Dec. 2012)

If you prefer to pay by check, please complete the online application and send check to:

Tri-State HRMA
PO Box 4206
Cherry Hill, NJ 08034

Status:

Salutation (Mr./Ms./Mrs.):

First Name:

Last Name:

Username:

Password:

Confirm Password:

Street Address:

Address continued:

City:

State:

Zip:

Business Phone #:

Fax #:

Email Address - Work:

Email Address - School:

Email Address - Home:

E-mail Preference:

Were you a member of Tri-State in 2011?:

If renewing, please list your committee involvement:

Are you interested in joining a committee?:

SHRM ID# :

Are you currently employed?:

Payment Type:

If you are paying by check, please mail checks to:
Tri-State HRMA, PO Box 4206, Cherry Hill, NJ 08034: