Student Membership Registration

Thank you for making the decision to join the JEA. Please fill out the form below and print a copy for your records before clicking submit. You will then be taken to the registration confirmation page to make your payment. The one year student membership fee is $29.95. You will be notified by email 30 days before your membership expires with an option to renew your membership for another year. We do not auto bill for renewals.

The payment page will provide the option to pay with a credit card or bank account using paypal. If you prefer to send a check or money order, please print the form below and sign and return it with your check or money order. You must click the submit button to process your registration regardless of how you choose to pay. Do not send Cash.

Prefix:
First Name: *
Last Name: *
Phone Number: *
E-mail Address: *
Street Address: *
Address Line 2:
City: *
State: *
Postal Code: *
Country: *

School of Attendance *

Area of Study *

By checking the box and submitting this form you agree in whole and in part to the membership agreement and code of ethics. *


* Required