SPAN Membership Privileges
"More than just a newsletter!"

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SPAN serves the communities of New Jersey free of charge. However, we need your support to continue our services to families and professionals throughout the state.

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By becoming a Member of SPAN you will receive the following:

leaf bullet The "Back to School" issue of our newsletter, The Bridge, as well as three additional issues throughout the year

leaf bullet Reserved seating at our annual conference at a reduced rate

leaf bullet Training materials at a 20% discount

To become a member of SPAN, or to subscribe to The Bridge, please print this page and complete the membership application below.

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SPAN Membership Application

Yes! I would like to become a member of SPAN. Please enroll me
as a member in the following category:

____ $35 Family Membership
____ $50 Friend of SPAN
____ $75 Professional/Organization

____ $250 Corporate Member
____ $500 Executive Benefactor
____ Other (please fill in amount)

Subscription to The Bridge only - without a membership (includes the "Back to School" issue of The Bridge, as well as 3 additional issues throughout the year.)

____ $25 Please enter my subscription so I may receive all 4 issues of The Bridge.
____ I would like to subscribe to The Bridge, but I am financially unable to afford the subscription fee. Please consider me for a Sponsored Subscription.
____ $25 I would like to Sponsor a subscription of The Bridge for a family unable to afford it.

$_______ Total Amount Enclosed
(Please make all checks payable to SPAN, Inc. Do not send cash.)

To those becoming SPAN members:

Occasionally, SPAN is approached to share our list of members with certain groups for very specific projects. When the Board of Trustees of SPAN feels that the sharing of our list will be of value to all members of SPAN, this will be done. If you do not wish to have your name and mailing information made available to these groups, please check the box below. Thank you.

I do not wish to have my name and mailing information made available to other groups or organizations.

NAME:____________________________________________________
ADDRESS:_________________________________________________
___________________________________________________________
CITY:_____________________ STATE:____  ZIP CODE:______
PHONE:__________________ BUS. PHONE:________________
COUNTY:_________________________
E-MAIL ADDRESS:_________________________________

Please return this Membership Application and payment to:
SPAN, 35 Halsey Street, 4th Floor, Newark, NJ 07102
Attn: Maria Rodriguez

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