{"id":43,"date":"2023-01-09T19:02:07","date_gmt":"2023-01-10T00:02:07","guid":{"rendered":"http:\/\/newjerseymilitia.org\/NJMHB\/?page_id=43"},"modified":"2023-01-29T17:38:20","modified_gmt":"2023-01-29T22:38:20","slug":"membership-application","status":"publish","type":"page","link":"https:\/\/newjerseymilitia.org\/?page_id=43","title":{"rendered":"Membership Application"},"content":{"rendered":"\n

Date of Application  ________________
Type:    \u25a1 Family * (see below)     \u25a1 Individual (Check one)
Name: ________________________________  Phone: ________________________
Address: ______________________________  City: __________________________
County: ______________________________  State: ____________  Zip: ________
E-Mail: ____________________________________  
Date of Birth: ______________________
Are you a member of NRA, NMLA, or other group?
                   Y     N
Do you hold a Firearms Identification Card where required?
   Y     N
Do you belong to another reenactment group?
                           Y     N
If so, what is the name of the group?  _________________________________________
Emergency contact:
Name: _______________________________  
Relationship: ______________________
Phone: ______________________________<\/u>
Category of prime member: (Check one):    
\u25a1 Man at arms    \u25a1 Civilian    \u25a1 Sutler    \u25a1 Musician
Application Fee:
    Initial:     $5 for Provisional Member (Subject to review in 6 months)
    Renewal:     $5 for Regular Member
PRINT THIS PAGE & SEND THE COMPLETED FORM WITH THE FEE TO:
    Andy Lieb, NJM~HB
    128 White Pine Ct.
    Paramus, N.J. 07652
(Checks made payable to: New Jersey Militia, Heard’s Brigade)
My signature indicates my agreement to abide by all the by-laws of the organization as well as the laws of all states and rules and regulations of various umbrella organizations and sponsors of events. I also understand that by becoming a re-enactor I will strive to present the most accurate and complete portrayal of the life and times of the Colonial Militia as I am able to.
Signature: _______________________________  Date: : _____________________
\u25a1 New Member \u25a1 Renewal (Check one)
*Family Membership: List all family members
For each: Name\/Date of Birth\/Relationship\/Category : Man at Arms\/Civ\/Sutler\/Musician:
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
List additional family members on separate sheet and attach.<\/strong><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

Date of Application  ________________Type:    \u25a1 Family * (see below)     \u25a1 Individual (Check one)Name: ________________________________  Phone: ________________________Address: ______________________________  City: __________________________County: ______________________________  State: ____________  Zip: ________E-Mail: ____________________________________   Date of Birth: ______________________ Are you a member of NRA, NMLA, or other group?                   Y     NDo you hold a Firearms Identification Card where required?   Y     NDo you belong to another reenactment group?                           Y     NIf so, what is the name of the group?  _________________________________________Emergency contact:Name: _______________________________  Relationship: ______________________Phone: ______________________________Category of prime member: (Check one):    \u25a1 Man… Continue reading Membership Application<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":8,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-43","page","type-page","status-publish","hentry","entry"],"yoast_head":"\r\nMembership Application - New Jersey Militia~Heard's Brigade<\/title>\r\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\r\n<link rel=\"canonical\" href=\"https:\/\/newjerseymilitia.org\/?page_id=43\" \/>\r\n<meta property=\"og:locale\" content=\"en_US\" \/>\r\n<meta property=\"og:type\" content=\"article\" \/>\r\n<meta property=\"og:title\" content=\"Membership Application - New Jersey Militia~Heard's Brigade\" \/>\r\n<meta property=\"og:description\" content=\"Date of Application  ________________Type:    \u25a1 Family * (see below)     \u25a1 Individual (Check one)Name: ________________________________  Phone: ________________________Address: ______________________________  City: __________________________County: ______________________________  State: ____________  Zip: ________E-Mail: ____________________________________   Date of Birth: ______________________ Are you a member of NRA, NMLA, or other group?                   Y     NDo you hold a Firearms Identification Card where required?   Y     NDo you belong to another reenactment group?                           Y     NIf so, what is the name of the group? 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