Membership Checkout - New Jersey ATSA

Membership Level change

You have selected the Agency Membership (2 years) membership level.

Probation, Parole, DCF, DHF, DMHAS & Other NJ Contract Agencies

Not intended for clinical staff (psychiatrists, psychologists, or clinical social workers). This is intended for front line staff and managers/supervisors working with consumers who have committed sex offenses or have sexually abusive histories. Clinical staff must apply for individual, clinical membership with ATSA/NJ ATSA.

$40.00 for two years.

Membership expires on January 31, 2025.

Do you have a discount code? Click here to enter your discount code.

Account Information Already have an account? Log in here

Username

Password

Confirm Password

First Name

Last Name

Email Address

Confirm Email Address

Full Name LEAVE THIS BLANK

More Information

Organization

Public Profile Address

Public Profile City

Public Profile State

Public Profile Zip Code

Public Profile Email

Public Profile Phone

Location, Choose Your County

Areas of Practice (Choose All That Apply)

Other Areas of Practice:

Populations That Apply to Your Practice (Choose All That Apply)

Other Populations:

Please add a description of the agency or any information that you would like posted in the public NJATSA Membership Directory.

Billing Address

First Name

Last Name

Address 1

Address 2

City

State

Postal Code

Country

Phone

Please use the PayPal button below to check out. After clicking this button, you will be able to login into your PayPal account or enter credit card information to complete your payment. Your public directory profile can be updated after payment by clicking "Edit My Profile" in the top right corner.

Processing...