Membership Application

Membership Fee $75.00 + $2.03  convenience fee

Total Fee $77.03

Student Membership Free (no certificates issued). If applying as a student only fill out the information form, do not fill out the pay link.

Use The Form Below To Apply For Membership

Complete The Form Below And Then You Will Be Directed To The Pay Link Form To Enter Your Credit Card Information

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After Clicking The Submit Button You Will Go To The Pay Link Form. It Is MANDATORY That You Provide ONLY Your NJHI License Number And Phone Number In The Pay Link Notes Box When Entering Your Credit Card Information