Membership Form

HOLOCAUST GENOCIDE AND HUMAN RIGHTS EDUCATION CENTER MEMBERSHIP FORM

Please make your check payable to The Holocaust Genocide and Human Rights Education Center.
When you have finished filling out the form, print it and mail it with your check to
The Holocaust Genocide and Human Rights Education Center, 765 Newman Springs Road, Lincroft, NJ 07738.

Please fill in the information indicated below.
Name:
Street:
City:
State:
Zip:
Phone:

Please select your membership.

One Year (July 1 - June 30)
Individual membership @ $18.00
Family membership @ $36.00
Contributing membership @ 54.00
Sustaining membership @ $100.00
Benefactor membership @ $360.00
Circle of supporters @ $1000.00

Lifetime Membership
Lifetime Membership @ $1800.00
Payable over 5 years