Penn Jersey Roller Derby - MEMBERSHIP APPLICATION

Millennium Skate World ~ 1900 Carman St, Camden, NJ 08105

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Do not complete this application unless you were instructed by a member of the PJRD Board to do so.
This is NOT registration for drop-ins.
This is NOT a public application process to join the league.

To inquire about becoming a member of PJRD or dropping in on a practice,

send an email to dani.pjrd@gmail.com

MEMBERSHIP APPLICATION /ACCOUNT CREATION

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Select membership level

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* Membership level

Active Reffie Program Skater - $25.00 (USD) Subscription period: Monthly, on: 1st No automatically recurring payments

Active Reffie Skater (AutoPay) - $25.00 (USD) Subscription period: Monthly, on: 1st Automatic renewal (recurring payments)

Active Rookie Program Skater - $50.00 (USD) Subscription period: Monthly, on: 1st No automatically recurring payments

Active Rookie Program Skater (AutoPay) - $50.00 (USD) Subscription period: Monthly, on: 1st Automatic renewal (recurring payments)

Active Veteran Skater - $65.00 (USD) Subscription period: Monthly, on: 1st No automatically recurring payments

Active Veteran Skater (AutoPay) - $65.00 (USD) Subscription period: Monthly, on: 1st Automatic renewal (recurring payments) For active veteran skaters who wish to use autopay

Ref/NSO Subscription period: Unlimited

Volunteer Subscription period: Unlimited

FILL OUT THE BELOW TO BECOME A MEMBER. YOUR APPLICATION WILL BE REVIEWED AND APPROVED AND YOU WILL NEED TO "RENEW" YOUR MEMBERSHIP MONTHLY BY PAYING DUES

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