Membership Application

Instructions

Thank you for your interest in KEEA and/or EEA-NJ Membership!

Please first select the type of membership you would like join (Two-State: PA & NJ, Single-State EEA-NJ: NJ, or Single-State KEEA: PA). Then select your level based on the number of employees at your organization from the dropdown (Small: 1-5, Medium: 6-25, Large: 26-100, Global: 101+).

From there, please fill in your individual and organizational information as requested on the form.

Thank you!

Select An Option

Two-State Price of Level Selected (Price Range: $675 - $5300 Once Per Term)

Select Level

(Pennsylvania and New Jersey)

Single-State EEA-NJ Price of Level Selected (Price Range: $345 - $2750 Once Per Term)

Select Level

(New Jersey Only)

Single-State KEEA Price of Level Selected (Price Range: $345 - $2750 Once Per Term)

Select Level

(Pennsylvania Only)

Enter Contact Information

Prefix (i.e. Mr. Mrs. Dr.)

First Name

Last Name

Suffix (i.e Jr. Sr. III)

Designations

E-mail

Family NameBusiness Name

Please select a valid membership option and fee item if exist

No mobile information will be shared with third parties/affiliates for marketing/promotional purposes. All the above categories exclude text messaging originator opt-in data and consent; this information will not be shared with any third parties.