UDNJ Lifetime Membership Form

    Children's and Parent's Name: [If Applicable]

    How did you hear about UDNJ?

    Referred By - UDNJ Member Name


    I hereby agree to pay the full amount for UDNJ Lifetime Membership - *
    Lifetime Membership Dues - $ 250.00

    I also acknowledge that I will abide by all codes, guidelines, and bylaws of UDNJ as an organization. I understand that once this membership payment is made, it is full and final and cannot be refunded to the member (Unless UDNJ decides to do so under exceptional circumstances). Please mention a Note "UDNJ Lifetime Membership 2024 for FirstName LastName" (Example: UDNJ Lifetime Membership 2024 for John Doe)