Rocky Mountain Jewish Historical Society (RMJHS) Membership Form
Please fill out (print or type please) and mail or fax (303-871-3037) this form to:
Rocky Mountain Jewish Historical Society
Center for Judaic Studies
2000 E. Asbury, Suite 157
University of Denver
Denver, CO 80208
Contact Information:
Name: |
__________________________________________________________________ |
Address: |
__________________________________________________________________ |
| __________________________________________________________________ | |
| City: ______________________________ State: ______ Zip: _________ | |
Phones: |
Home: _______________ Work: _______________ Cell: _______________ |
E-Mail: |
__________________________________________________________________ |
Membership Level (circle one):
$30, Regular / $100, Century / $250, Sustaining
$500, Patron / $1000, Life
In addition to my RMJHS membership, please contribute this amount to the
Beck Endownment Fund: $_______
Donation Method (all donations are tax deductible):
Check: Please make your check payable to "The University
of Denver--RMJHS"
Credit Card:
Type: |
Visa / Master Card / Discover / American Express |
Number: |
_____________________________________________________________ |
Expiration: |
Month: ____________________ Year: ____________________ |
Signature: |
_____________________________________________________________ |