2000 Membership Application Form

If you are a USMA graduate, cadet parent, or Friend of West Point and are interested in becoming a member of the West Point Society of New Jersey, we suggest you print this web page to your printer. . Please fill out the information requested and mail to the address indicated. You can also use this form to apply for New Jersey West Point License Plates.

We look forward to you becoming a member of our society! BEAT NAVY!

2010 Membership and License Plate Application
New_____ Renewal_____ Updated Information_____

Name
Class	Cullum # (if known)
Address
City	State	Zip
Spouse’s Name
Home Phone #
Occupation
Name of Business
Business Phone #
E-mail Address
Status:
Regular Membership:	Active Duty ARNG USAR
	Retired Resigned Other
Associate Membership:	Spouse of Graduate Parent of Cadet
	Parent of Graduate Other
Name of Associated Graduate/Cadet:
Class:
2010 Membership Dues *Widows of Graduates are exempt from paying dues		$ 30.00*
Contribution to the WPSNJ General Operating Expenses *
Contribution the Dwight David.Eisenhower Leadership Fund *		$
I want to apply for ___ set(s) of New Jersey West Point Plates @$15 per set (Include a copy of the vehicle registration for each set requested)		$
	TOTAL	$

* 100% Tax Deductible
Please make check payable to WPSNJ and mail together with this form to:

West Point Society of New Jersey
P.O. Box 627
Fort Monmouth, NJ 07703

*Note: Widows of graduates are exempt from paying dues, but application form must be returned so that we can keep our mailing list current.

New Jersey Member Survey

Please complete the following survey:

	I am willing to serve on the West Point Society Board of Governors.
	I am willing to serve on a standing committee.
	I am willing to mentor active duty graduates.
	I am willing to sponsor a New Jersey high school and present the Eisenhower Leadership Award.
	To save postage and printing costs, send my copy of the Society newsletter, “New Jersey Pointer”, via E-mail only.
	I'd be glad to help out with the society's web site.
	I am willing to help out by participating in specific projects:
Examples: