Membership

MEMBERSHIP
Membership Type*

New MembershipMembership RenewalGift Membership
Your Name*

First NameLast Name
Your Date of Birth

MonthDayYear
Partner's Name

First NameLast Name
Partner's Date of Birth

MonthDayYear
Email*
Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / ZIP CodeCountry
Gift Membership Recipient Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / ZIP CodeCountry
Email
Phone Number
Are you interested in getting involved at JHSM? Please select all areas of interest.

volunteering for eventshelping in the officedocenting for our Speakers' Bureau seriesserving on our Advisory BoardOther
Membership Levels:*
Names of children and/or grandchildren ages 18 and under (family membership only)
Name of Organization (corporate or nonprofit membership only)
Would you like to pay 3 years of membership dues now and save an additional 10%?*

Yes, please!No, thank you.
Subtotal:
Additional Donation*
Fund Donation Directed to
Total
Payment Options

PayPal/Visa/MC/AMEXCheck
PayPal Total Due

prevnext( X )
USDDescription

loading smart payment buttons...

The payment is ready! It will be completed once you submit the form.
If paying by check, please print the confirmation email and send it, along with your check, to:

Jewish Historical Society of Michigan

6632 Telegraph Rd, #208

Bloomfield Hills, MI 48301
Should be Empty:

MEMBERSHIP