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if you do not have a NJ license, please enter NA
By accepting this Application for Membership, the applicant hereby agrees to abide by ANJC charter membership and by-laws, and also certifies that the information provided is accurate and that the applicant: i.) is licensed to practice Chiropractic in the State of New Jersey; ii) his or her license to practice chiropractic is not presently inactive, suspended or revoked; iii) is not in default of any dues owed to the ANJC; iv) is not in violation of any of the provisions of the ANJC By-Laws, Articles of Incorporation and/or Policy; and v) has never pleaded guilty, entered a plea of nolo contendre, or has been found guilty by a judge or jury of a felony. If any of the information provided by Applicant is inaccurate, the Applicant agrees and understands that the ANJC has the right to revoke Applicant’s membership pursuant to Article II, Section 2.2 of the ANJC By-Laws.
I agree that I may be emailed about future offers.