Thank you for joining.
Please print out this form, fill it out and return to the Borns Jewish Studies Program, Indiana University, Goodbody Hall 326, 1011 E. 3rd Street, Bloomington, IN 47405-7005
Name
Home address
City, State, Zip
Email address
Home phone
Business phone
I/we are pleased to become a Friend of the Borns Jewish Studies Program at the following level:
___ Benefactor ($1,000 and above/year)
___ Patron ($500 - $999/year)
For people age 35 and under:
___ Patron Associate ($180 - $499/year)
For recent Jewish Studies alumni:
___ Young Associate ($36/year)
Method of Payment:
___ I/we enclose a check made payable to "IUF/Jewish Studies Program"
___ I/we wish to make a gift by:
___ Mastercard ___ Visa
Credit card number
Expiration date
Signature
To join, please print out this form, fill it out and return to the Borns Jewish Studies Program, Indiana University, Goodbody Hall 326, 1011 E. 3rd Street, Bloomington, IN 47405-7005
For questions, please contact us at 812-855-0453 or email iujsp@indiana.edu
