MERCAZ USA Membership Form

Please fill out the information below.
All members receive 4 issues of the MERCAZ newsletter.

Personal Information

First Name

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Last Name

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Permanent Address

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City

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Phone

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E-Mail

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Congregation Name,
City, and State

Membership Options

  • Benefactor : $500
  • Donor : $250
  • Sponsor : $100
  • Family : $54
  • Individual : $36
  • Student : $12

Membership Options
 

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MERCAZ USA
136 East 39th Street, 4th floor, New York, NY 10016-0914
tel 212.533.2061 | fax 212.533.2601
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