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PJOA Membership

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  • Thank you for your interest in becoming a PJOA Member.  Please download a membership application from one of the formats below and mail it along with $25.00 (New Member) or $20.00 (Renewing Member) to: PJOA, 500 Wyoming Avenue, Kingston, PA 18704

Membership Application in PDF

Membership Application in Microsoft Word

E-mail Address: *
First Name *
Middle Initial
Last Name *
Agency *
Position/Rank *
Home Street Address *
Home City *
Home State *
Home ZIP Code *
Date of Birth *
Home Phone *
Cell Phone
Work Phone *
Work Ext.
E-Mail Address *
SEX *Male
Female
Agency Street Address *
Agency City *
Agency ZIP Code *
Todays Date *
Questions or Comments
Membership Status *New Member
Exisitng Member
How did you learn about the PJOA *
* RequiredCreate Email Forms

NEW MEMBERS CAN PAY HERE

$25.00 New Member

CURRENT MEMBERS CAN PAY ANNUAL DUES HERE

$20.00 Annual Membership Renewal Fee

 

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Copyright © 2005 Pennsylvania Juvenile Officer's Association
Last modified: 12/02/09