Register – NJCEA

Member Name(Required)

Email(Required)

Will be used as your login

Address(Required)

Representative’s title (if applicable):

Representative’s Email Address:(Required)

Representative’s Phone Number:(Required)

Business Web Address (if Applicable):

Business Type:(Required)

(Ex. Law firm, cannabis cultivator, media company, financial institution, etc.)

Please check any / all that apply to your business entity:

Operational Date:(Required)

Award Date:(Required)

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