The Jewish Historical Society of Lower Fairfield County

Yes, I am happy to support The JHSLFC with my membership

Fill out the information below, using your keyboard, and then print and mail the form, along with your check, to:

The Jewish Historical Society
of Lower Fairfield County
P. O. Box 16918 Stamford, CT 06905-8901

Name (Last):
Name (First):
Telephone (include area code): Day  Ext.  /  Evening
E-mail Address:  
Street Address1:
Street Address2:
City:    State:    Zip Code + 4:

Annual Dues: Yearly membership dues are from August 1 to July 31 in any given year.

Enclosed is my/our contribution of:

  $5 Student
  $20 Single
  $36 Household
  $100 Sustaining
  $250 Patron
  $400 Life Membership
  $100 Corporate
  Additional Donation $____________

I am willing to work on the following committee(s)

  Archives Oral History Membership
  Programming Speakers' Bureau Photography

for more information, please e-mail us at jhslfc@gmail.com

Thank you!