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MEMBERSHIP LEVEL *

Organizational ($250 per year) Individual ($100 per year)

PAYMENT TYPE *

Online Check

After clicking "Submit and Proceed to Payment" at the bottom of this page you will be able to pay your renewal fee online. If you prefer to pay by check, the payment address will also be provided on the next page.

PLEASE CHECK THE BOX BELOW IF YOU WOULD LIKE TO HAVE AN INVOICE EMAILED TO YOU FOR YOUR ORGANIZATION'S MEMBERSHIP DUES. *

Yes, please email me an invoice No, I do not require an invoice

Organization (if Organizational level membership) *

Name (First, Last) *

First

Last

Email Address *

We have printed copies of our 2023 Blueprint for our members. Would you like a copy mailed to you? *

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Please provide your mailing address if you'd like a copy of the 2023 Blueprint mailed to you. *

Are you interested in participating in a subcommittee? (Check all that are of interest.) *

Policy Membership Communication Fundraising

Do you have any of the following areas of expertise that would be helpful to CEJC? (Check all that apply and please provide details below.) *

Content expert in specific elder justice issue(s) Communications/Marketing Advocacy on behalf of specific groups Policy Analysis Social Media Administration & Finance Other

Additional Information: *

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CEJC is a project of Community Partners.