Other membership
benefits Membership Application and Publications Order Form
(print out form and mail to above address)
Contact Information |
|
| Name (print) | ____________________________________ |
| Address | ____________________________________ |
| City | ____________________________________ |
| State | ____________________________________ |
| Zip + 4 code | ____________________________________ |
| Day Telephone | ____________________________________ |
| Evening Telephone | ____________________________________ |
| ____________________________________ | |
Membership Category |
||
| Please enroll me as a member for calendar year 2008
in the following category. |
||
| _________ | Regular Member | $36 |
| _________ | Family Member (second family name:________) | $45 |
| _________ | Sustaining Member | $60 |
| _________ | Supporting Member | $100 |
| _________ | Patron Member | $250+ |
| _________ | Out of town member (more than 100 miles from NYC) | $25 |
| _________ | Out of town member (with local mailings) | $36 |
| _________ | Non-U.S. Member Airmail | $36 |
| _______ | Back issues of DOROT, Volumes 6-23 | $100.00 |
| _______ | Single issues of DOROT (v.24 - ): _____________ | $5.00 x______ |
| _______ | Single issues of DOROT (v.6-23): _____________ | $3.00 x______ |
Payment
| _______ | Sub-total (NYS Residents add appropriate sales tax for publications only) |
| _______ | TOTAL |
Credit Card Infomation |
|
| Name on Card | |
| Credit Card No.: | |
| Exp. Date | |
Check is payable to Jewish Genealogical Society, Inc.. Return to P.O. Box 6398, New York, N.Y. 10128.
Your Dorot subscription is valued at $12 per year. The balance of your membership is tax-deductible.