Welcome to SLANY Membership

There are two ways to Join or Renew your membership

  • New Members -
    1. Complete the online application form

      OR


    2. Print and fill the application form below (Click on the PDF icon)

      (Adobe acrobat reader required)




  • Renew Membership (Existing members only)

    Mail the payment with the appropriate fee to the following mailing address

    Mailing Address:
    Mrs. Shamistra Nadarajah
    Secretary – SLANY
    314 Boulevard, Mountain Lakes, NJ 07046

Membership fees:

  • Annual Individual Membership
$ 15.00
  • Annual Family Membership
$ 25.00
  • Family Life Membership
$ 150.00
(Family Members over 21 Years of age have to become Individual Members.)

 

 





ONLINE MEMBERSHIP APPLICATION

Last Name
  *
First Name
  *
Address:
   
Street
  *
Apt No.
 
Street (Line 2)
 
City
  *
State
  *
Zip Code
  *
Telephone (Primary)
  *
Telephone (Secondary)
 
Fax
 
E-Mail
  *
Preferred Method of Contact
  Email Regular Mail
Name of Spouse
 
Name(s) of Child / Children
(Optional)
  Age
    Age
    Age
Date
  *
Check Number
 
Amount
  *
Introduced By
 
  * Required Fields
   


   
     









 

 

 

 

 

 

 

 

 

 

 

 

 

 
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