Making a donation to IJHS.org

Please print, fill out, and return this form with your contribution.

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I would like to be enrolled as a member of the Indiana Jewish Historical Society (with the category checked below)

________________________________________________________________________
Name

________________________________________________________________________
Address

________________________________________________________________________
City                                                     State                                              Zipcode

________________________________________________________________________
Phone Number                                                                                E-Mail (if any)

Please Check One:

___ Patron             $180 and above                                            ___ Contributing $54
___ Organizations $125 (minimum)                                            ___ Basic Dues $36
___ Sustaining       $90                                                               ___ Student $9

___ I am interested in contributing toward the IJHS Endowment Fund $__________

___ In honor of__________________________________________
___ In memory of_________________________________________

Dues and donations are tax deductible. Please make checks payable to:

INDIANA JEWISH HISTORICAL SOCIETY

And Mailed to:

INDIANA JEWISH HISTORICAL SOCIETY
6301 Constitution Drive
Ft. Wayne, Indiana 46804

Thank You

Payments can also be made through our website using our handy PayPal button.