BLUEWAVE NJ - INFORMATION FORM

BlueWaveNJ thrives because of the diligence and hard work of its membership. In order to build the organization, we ask that all those who join BlueWaveNJ pay annual dues of $30.00; $15.00 for students, seniors, financially constrained.  These monies allow us to secure venues, speakers, support candidates, and purchase materials.

OUR SUCCESS TOMORROW DEPENDS ON YOU TODAY
 

Membership Name and Email Information:

*Required fields are necessary for NJ ELEC requires disclosure of contributions and employer information.  State law requires us to use our best efforts to collect the name, mailing address, occupation and name of employer of individuals who contribute to BlueWaveNJ.
  *First Name:  

*Last Name:

  
  *Email:  
Required for BlueWaveNJ ONLY		 I am a current member of BlueWaveNJ:  Yes   No
 
 Address/phone info:
 *Address:  

*City:

  

*State:

  

*Zip:

   County: Phone:
(Not required, but very helpful for BlueWaveNJ communication purposes.)

NJ ELEC requires disclosure of contributions and employer information.
 
*Employer:  
  (May be "Self Employed" or "Unemployed)		 *Employer Address (Number and street):
  (Enter Same As Above if appropriate)
   
 *Employer(City, State, Zip):             *Occupation:             
 
The health and functionality of BlueWaveNJ is dependent on our member's volunteer support.  Please look over our committee list below and express your willingness to contribute by selecting an area that matches your skills and/ or appeals to your interest. Thank You.
 Infrastructure Committees
  Fundraising Pre-Election Cease-Fire New Jersey
  Organizational Development Membership Development Administration and Compliance
  Program and Speaker Series Environment Budget and Finance
  Audio Visual and Meeting Setup Graphic Design Technology/Web site Dev.
  Media Reform Health Care Reform Electoral Reform 
  IRAQ   LGBTI Volunteer

Bluewave NJ has a firm commitment to privacy.  Your information will be used by BlueWave NJ for communication purposes ONLY. Our database is not provided to any third parties and is of limited accessibility within the group.