To become a member of the Heritage Council, please enter your information below, print and mail form with enclosed check to: Jewish Historical Society of Michigan 6600 W. Maple Road West Bloomfield, MI 48322-3003 To insure the future of the Jewish Historical Society of Michigan and to provide for the continuation of its projects in the 21st Century, I hereby join the Heritage Council, an endowment society. Contributions are cumulative. Please select one from the following: $100,000 Guardian of the Heritage Council $25,000 Trustee of the Heritage Council $10,000 Chancellor of the Heritage Council $5,000 Dean of the Heritage Council $1,000 Fellow $600 Collector $100 Chronicler The Guardian's name will appear as the endower of the Jewish Historical Society journal. Trustees, Chancellors, Deans, Fellows and Collectors become life members. The Heritage Council will continue to be listed in the journal, Michigan Jewish History, which circulates to libraries and universities around the world. Member Information: First Name: Last Name: Address: City: State: ZIP Code: Home Phone: Work Phone: E-mail: Fax: Please select one from the following: I am pledging a gift of $ to be paid over years. I am making a testamentary bequest to the Society in my will, and will forward documentation. The Society sincerely appreciates the support of the Heritage Council. Membership Form • Heritage Council Endowment • Donation/Tribute Form • Life Members Jewish Historical Society of Michigan 6600 W. Maple Road West Bloomfield, MI 48322-3003 Phone: 248.432.5517 www.michjewishhistory.org E-mail: jhsofmichigan@msn.com ©2003 Jewish Historical Society of Michigan
The Society sincerely appreciates the support of the Heritage Council.
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