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Friends of the Borns Jewish Studies Program

Become a Member of the Friends of the Borns Jewish Studies Program and Make Annual Scholarship and Fellowships Possible.

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, or you can click on the the Give Now icon and give at the levels listed below.

For questions, please contact us at 812-855-0453 or email iujsp@indiana.edu

THANK YOU FOR YOUR SUPPORT!

Friends of the Borns Jewish Studies Program Membership Form

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