jpUS Connecticut
Renewal/Change Form
            Justices of the Peace of the U.S.

Attention, Current Members of jpUS.org from Connecticut

If you are currently a member of the Justice of the Peace Association and renew before your JP Association term expires, please use this form to renew.

(If you are a NEW member, please use the New Member form to register.)

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

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 Full Name
 
Nickname (optional)
     
Nickname will be displayed.
Address (if changed):
   
Street address will not be displayed. 
 
Town or City:
 Connecticut
Zip:
 (99999-9999)
*Email (for your listing):
Home Phone (if changed):
 (999-999-9999)
Work Phone (if changed):
 (999-999-9999)
Cell Phone (if changed):
 (999-999-9999)
The URL of your own web site
    
NEW: Social Media links
(if appropriate to your role as JP)
    
NEW:  A link to a video in which you're featured  (e.g. on Youtube)
    
B. More  About You (only needed if changed from current listing)
Religion:   
Other :  
Ethnicity:  
Other :  
Political Party:  
Other :  
Foreign Languages spoken:
French
Spanish 
Hebrew 
Italian
German 
Russian
Polish 
Other foreign languages spoken 

Please introduce yourself to visitors to findajp who are seeking a JP. Talk about the services you offer, your background, work, family or anything about you that might appeal to potential clients. (If you are satisfied with your current comment, no need to change it.) (approximately 25 words). 
 

If this is a CHANGE ONLY request, 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 Connecticut, 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. Yes
     
    • C.  Basic Rates for On Time Renewals
          Select membership term       (New JP term : January 7 2013 - January 2, 2017.)

    1 Year $50 
    Full Term - 4 years $175
    No charge - change only
    Your primary listing will appear in the town or city  where you were appointed.  
    D. NEW Content Options for your Listing
    Create an extension of your listing on its own page with your choice of:
    •  Wedding Photos (Option D1) . Each photo and caption costs $15 or 4 for $50.  One-time fee.
      Number of photos          Cost     
      Please email photos to photos@jpus.org.

    • Testimonials (Option D2). Show off your satisfied clients' words of praise. Up to 3 testimonials for $25.  One-time fee.      

      •  

    • Web Page (Option D3).  The works! Your own web page as an extension of your listing includes:
      • 4 Wedding Photos (Options D1)
      • 3 Testimonials (Option D2)
      • up to 500 words of text.  More room to share your philosophy (or anything else) with potential clients. You can include Headings for readability (e.g. About Me, My Ceremonies, Fees, Favorite Venues, etc.). And we'll help format it.
      One-time fee $100.             
       
    E. Additional Page Listing Options You may choose to be listed on additional pages in Connecticut. All listings must be for the same membership term. 

    Pricing for listings in Additional Towns
      No. of additional pages
    Membership
    Term    		 1-5 additional towns 6-10 additional towns 11 -15 additional towns 16 or more additional towns
    1 Year $35 per town  $30 per town $25 per town $20 per town
    Full Term
    (4 yrs)    		 $115 per town  $100 per town $85 per town $75 per town

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

     Please type additional towns or cities in the next box.

     

     Option E1.   Cost for Additional Towns.
    (Multiply Number of additional pages by Price for your Membership Term) $

    Option E2.  You may choose to be listed on every page of a County:

    Pricing for Countywide Listings
     
    County

    No. Towns
    Select
    (add to basic membership)
    One Year
    Fairfield 23 $425
    Hartford 29 $550
    Litchfield 26 $495
    Middlesex 15 $300
    New Haven 27 $510
    New London 21 $390
    Tolland 13 $260
    Windham 15 $300

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

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

    If paying by check, please pay to the order of  jpUS and mail to
    jpUS, 8 Webb Road, Westport CT 06880. Thank you.