Drew University
Center for Holocaust/Genocide Study
Application Form |
Print this form and
mail with your check to:
Center for Holocaust/Genocide Study
Embury Hall
Drew University
Madison, NJ 07940 |
Please make check payable to "Drew University Center for Holocaust/Genocide Study."
Your contribution is tax deductible within IRS regulations. |
Name:______________________________________________________________
Address:___________________________________________________________
City, State, Zip:__________________________________________________
Telephone (home):__________________________________________________
Telephone (work):__________________________________________________
E-mail:____________________________________________________________
MEMBERSHIP LEVELS
___ Life Member: $2500 or more ___ Donor: $250
___ Patron: $1000 ___ Sponsor: $100
___ Benefactor $500 ___ Friend: $50
__________________________________________________________________
___ I am interested in becoming a volunteer/associate
___ I would like to make an additional contribution of $_______ to
support the following program(s):
____ Annual Fall Conference
____ Film/Lecture Series, Performances, Exhibits, etc.
____ Workshops for Public School Administrators and Teachers
____ Scholarships for Drew Faculty to attend Holocaust/Genocide
Conferences, Workshops, Summer Seminar at Yad Vashem
____ Library Holdings and Archives
____ Annual Guided Trip to United States Holocaust Memorial Museum
____ Other _______________________________________________________
______________________________________________________________________
QUESTIONS?
Contact the Center
973/408-3600
E-mail: ctrholst@drew.edu
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