Membership Application

Instructions

Thank you for your interest in KEEA and/or EEA-NJ Membership!

Please first select the type of membership you would like join (Two-State: PA & NJ, Single-State EEA-NJ: NJ, or Single-State KEEA: PA). Then select your level based on the number of employees at your organization from the dropdown (Micro: 1-10, Small: 11-50, Medium: 51-150, Large: 151-250, Enterprise: 250+).

From there, please fill in your individual and organizational information as requested on the form.

Thank you!

Select An Option

Two-State Price of Level Selected (Price Range: $890 - $5220 Once Per Term)

Select Level

(Pennsylvania and New Jersey)

Single-State EEA-NJ Price of Level Selected (Price Range: $495 - $2900 Once Per Term)

Select Level

(New Jersey Only)

Single-State KEEA Price of Level Selected (Price Range: $495 - $2900 Once Per Term)

Select Level

(Pennsylvania Only)

Enter Contact Information

Prefix (i.e. Mr. Mrs. Dr.)

First Name

Last Name

Suffix (i.e Jr. Sr. III)

Designations

E-mail

Family NameBusiness Name

Please select a valid membership option and fee item if exist