***** MEMBERSHIP APPLICATION *****
(Print this form)
Please enroll me as a member of the Jewish Historical Society of Greater New Haven, Inc.
(Membership year is from July 1st to June 30th. All new applications received after Jan. 1st are accepted for the following year.)
Individual Membership ($25.00) $____________
Family Membership ($36.00) $____________
Patron ($50.00) $____________
Organizational Membership ($36.00) $____________
LIFE MEMBER ($200.00) $____________
Youth (under age 21) ($18.00) $____________
*****DONATIONS *****
Please accept my donation to the:
Harvey N. Ladin Archives Fund $____________
Rabbi Arthur Chiel Fund $____________
Louis Sachs/Isadore Wexler Fund $____________
Arthur M. Spiegel Memorial Fund $____________
General Fund $____________
Donation is in |honor|memory| of:_________________________
TOTAL ENCLOSED $____________
NAME________________________________________________________
STREET______________________________________________________
CITY, STATE, ZIP____________________________________________
TEL.________________________________________________________
Please make your check payable to "JHS of Gr. NH" and mail with this form to:
The Jewish Historical Soc. of Greater New Haven
P.O. Box 3251
New Haven, CT 06515
NOTE: All dues and donations are tax deductible within the provisions of the federal tax laws.
Any questions? Tel. (203)392-6125 or e-mail to: whirsch@snet.net
THANK YOU FOR YOUR DONATION