Hadassah
Membership Application

Hadassah, The Women's Zionist Organization of America
50 West 58th Street, New York, NY 10019 
Phone: (212) 303-8298
Internet: http://www.hadassah.org

Return to Hadassah Southern California Home Page

If you are interested in becoming a member of Hadassah or wish to renew your current membership, please complete the form that appears below.

You have two ways to pay for your membership:

  1. Print out the Membership Application. Simply print the required information on the form, and send the application along with your check to:


 

 

Hadassah The Women's Zionist
Organization of America, Inc.
P.O. Box 5507
New York, NY 10087-5507

Checks should be made payable to Hadassah.
 

  1. You may submit the application form electronically using our credit card.


In keeping with IRS regulations, membership fees (annual, life and Associate) are not considered to be tax deductible contributions.
 

$36 Renewal
$36 New Annual
$72 Two Year Renewal
$360 New Life 
$ 360 Child Life* 
$324 Life Member  Upgrade (For Current Annual Members) 
$200 Male Associate  (Up to $300 as of June 1, 2007)

Yes, I'd like to make a contribution of to:
Hadassah Medical Organization
Hadassah Israel Education Services
Young Judaea.


Youth Aliyah
Jewish National Fund
Where It Is Needed Most

PLEASE MAKE ME A MEMBER OF HADASSAH SOUTHERN CALIFORNIA.

Your Chapter Will Be Credited For Your Contribution

Date Of Birth:

*Required for Child Life Membership

Member ID:

R/C/G Code:

Member Name:

Member Address:

Home Phone:

Office Phone:

Enclosed is my check for , payable to Hadassah.

Please send checks to Hadassah at Amelia and Mark Taper Hadassa House, 455 S Robertson Blvd. Second Floor, Beverly Hills, CA 90211.

Special Note: If you are mailing this form, you can include your credit card number, expiration date, name on the credit card, and signature at the bottom of the form.
Do Not send your credit card number over the Internet using this form. You WILL be taken to a secure page for that purpose.

New Information or Corrections - Please Print

Name:

Company:

Address:

City:

State/Province:

  Zip/Postal Code:

Country:

(If other than U.S.A.)

Home Phone:

* required field

Work Phone:

Fax:

Your email address:

* required field

Spouse's First Name:

Maiden Name:

Please transfer me to the Chapter or a chapter closest to my home.

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Contents copyright © 1996 Hadassah, The Women's Zionist Organization of America. All rights reserved.