Vegetarian Society of South Jersey (www.vssj.com)

VSSJ Membership/Renewal Application Form

1) Please fill out the Membership/Renewal Application:

First Name:
Last Name:
Company Name:
Address1:
Address2:
City:
State/Province:
Country:
Zip/Postal:
Home Phone:
Work Phone:
E-Mail:

2) Select one Membership or Renewal Option:

3) Choose one or more of the following:

Newsletter...	Publicity...
Membership...	Programs...
Distribute Literature...	Raise Funds...
Assist at Potlucks...	Conduct Cooking Classes...
Outreach...	Thanks but I can't help at this time...
Other...

4) Print your completed Application and Mail along with your Check to:

Vegetarian Society of South Jersey
PO Box 272
Marlton, NJ 08053

If you have a question please call us at 877-www-vssj.