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Please fill out the form below. Required fields are marked with a ¤. Fields required for only certain types of members are noted in the instructions. When you're done, click Go at the bottom of the form.

 
 
 
 
CICTCLIPCLIP-RCDI-P
CDICSCMCSCRSCSC:L
Pr SC:LSC:PAOTCOIC:COIC:S/V
OIC:V/SICTCNICNIC Advanced
NIC MasterEd:K-12Standard CertificateEIPA Screened (3.0 or higher) 
NAD-IIINAD-IVNAD-V  
 
NJ DDHH Screening  
 
Burlington County College ITPCamden County College ITP
Ocean County College ITPUnion County College ITP
Other ITPNo ITP
  
 
 
 
 
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A check can be mailed to:
Silvia M. Coelho-Yi
NJRID Membership Chair
2301 Spencer Street
Piscataway, NJ 08854

You may also pay for your membership online using PayPal by logging in after you've submitted this form and clicking on the Membership link. Please see http://www.njrid.org/pages/mRenew.asp for categories and dues. If you have any questions, please contact our membership chair, Silvia M. Coelho-Yi, at silviacyi@yahoo.com.
 
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