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NJTLC
Membership Application Form

Name *

Prefix

First *

Last *

Suffix

Address *

Street Address *

Address Line 2

City *

State / Province / Region *

Postal / Zip Code *

Country *

Birthday *

YYYY

Phone Number *

###

####

Alternate Phone Number

###

####

Email *

Screen Name on Forum *

Referred by

Primary Interest (check one) *

4WD motoring

Canoeing and Kayaking

Cross-Country Skiing

Dirt Bike Riding

Fine Arts (e.g. Photography and Painting)

Geocaching

Hiking, Backpacking and Camping

Historical

Horseback Riding

Hunting, Fishing and Trapping

Miuntain Biking

Nature Activities (e.g. Birding and Botany)

Secondary Interest (check one) *

4WD enthusiast

Canoeing and Kayaking

Cross-Country Skiing

Dirt Bike Riding

Fine Arts (e.g. Photography and Painting)

Geocaching

Hiking, Backpacking and Camping

Historical

Equestrian

Hunting, Fishing and Trapping

Mountain Biking

Nature Activities (e.g. Birding and Botany)

Other Interest(s), Comments or Concerns

Group Affiliations

"Purposes"

The New Jersey Trail Lovers Coalition was organized to promote sensible and responsible use of the open spaces of New Jersey and to cultivate good will among all the various users of our open spaces. I understand by becoming a member that my actions and conduct reflect on the group as a whole. I pledge to be safe and responsible when representing the organization. By submitting this Membership Application Form, I am stating that I agree with the "Purposes" of the NJTLC.

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