Association for Student Judicial Affairs
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  Student Affairs Get involved with the Association for Student Judicial Affairs  
    Call Today 979-845-5262  
 
 
Contact Us




ASJA Central Office
PO Box 2237
College Station, TX 77841-2237
phone-979-845-5262
fax-979-458-1714


ASJA Membership Application

 
Section 1: User Information
 First Name*  
 Last Name*  
 Institution*  
 Title*  
 Address*  
 Address 2  
 City*  
 State*  
 Zip Code*  
 Country  
 Phone*  
 Fax  
 E-mail*  
 E-mail 2  
 Web Site  
 Gender  
 Institution Type 
 
Section 2: Membership Information
 Ethnicity  
 Tribal CollegeYes    No
 
 Histoical Black College   Yes    No
 
 Institution Type  
 Circuit  
 Number of Total Students
 
 
Section 3: Membership Type
 Membership Type*
$95.00 - Professional Membership
$40.00 - Student Membership
$50.00 - Retiree
$475.00 - Corporate Affiliate
$140.00 - Limited Individual
$190.00 - Association Affiliate
 
 
Section 4: Payment
 Payment Method*
    Credit card
    Check
    Send invoice
 
 
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