jpUS Member EARLY Renewal Form and Change Form
            Justices of the Peace of the U.S.

Attention, Current Members of jpUS.org  

If you are currently a member of jpUS and renew before your membership expires, we are offering special reduced rates.

Connecticut and Vermont Members, please use the Connecticut or Vermont Renewal Form.
If you are a NEW member, please use the New Member form to register.

Required fields are in *red and marked with an asterisk.

If you are a current member of jpUS, the only required fields are:
        In Section A: your name, state and email address.
        In Section B: your agreement to abide by the jpUS Code of Ethics.
        In Section E: total amount.

Renewals. Fill in any fields you wish to change from your current listing. Also enter new Membership Term in Section C.    

Changes.
        You may use this form to add additional towns to your listing.
        If you are a current member changing information on your listing, enter 0 in Total Amount and Submit Form.

A. Contact Information
*Your Name
 
Address (if changed):
   
Check here if you do not want your street address to be listed 
 
Town or City:
*State:

 
           

Zip:
 (99999-9999)

*Email (for your listing):

Home Phone (if changed):
 (999-999-9999)

Business Phone (if changed):
 (999-999-9999)
The URL of your own web site
    

JP Expiration Date:
 (mm/dd/yy)
B. more  about you

Religion:   
Other :  

Ethnicity:  
Other :  
Political Party:  
Other :  

Foreign Languages spoken:

French
Spanish 
Hebrew 
Italian
German 
Russian
Polish 

Other foreign languages spoken 

   

Anything you want to say about yourself? (e.g., services, background - 25- word maximum)     

If you're making a change, please tell us what has changed (if it's not self-evident).

Members of jpUS must agree to abide by the following Code of Ethics:

As a member of the Justice of the Peace Association of the U.S. (jpUS.org), having accepted the responsibility of the office of Justice of the Peace, in order to faithfully discharge my duties with both competence and integrity, I resolve that I will adhere to the following standards of conduct:

  • To execute the statutes of the State in which I am empowered, as promised when I took the oath of office
  • To perform all tasks and responsibilities to the best of my ability
  • To complete and submit all documentation accurately, on time and to the proper authorities
  • To be honest with my clients and to act in their best interests
  • To charge a fee for my services that reflects my expertise, effort, time and involvement in the preparation and performance of my duties and that is in compliance with state statute, if applicable
  • To always act in a manner that reflects favorably on myself, my office, and the Justice of the Peace Association.
* As a member of jpUS, I agree that I will always abide by this Code of Ethics.
C. Select membership term
[Required only for Renewals]
1 Year $50 
2 Years $95
3 Years $135
4 Years $175

Your primary listing will appear in the directory of the town or city  where you were appointed.  

You may also be listed on additional pages in your state. All listings must be for the same membership term. 

Pricing for listings on additional pages:
  No. of additional pages
Membership
Term		 1-5 additional pages 6-10 additional pages 11 or more additional pages
1 Year $35 per page $30 per page $25 per page
2 years $65 per page $50 per page  $45 per page 
3 years $90 per page  $74 per page  $68 per page 
4 years $115 per page $100 per page $85 per page

In addition to your town of appointment, how many additional towns or pages do you wish to be listed on?

 Please name the additional towns or pages in the next box.
 

D. Multiply Number of additional pages by Price for your Membership Term       $

*E. Total amount (please add C and D): $                             (Enter zero if change only)                       

Will you pay by  credit card (fast and secure) or mail a check?