MEMBERSHIP

PLEASE COMPLETE FORM, PRINT & MAIL OR FAX TO THE JEWISH MUSEUM OF FLORIDA. THANK YOU!
301 WASHINGTON AVENUE • MIAMI BEACH, FL 33138 • FAX: 305-672-5933

Please select one:
Yes, enroll me as a member of the JEWISH MUSEUM of FLORIDA: Home of MOSAIC. (please indicate a level of annual support below)
Re-enroll me as a member of the JEWISH MUSEUM of FLORIDA: Home of MOSAIC. (please indicate any changes below)
I am already a member, and want to give a membership as a gift. Please send this gift membership to the person(s) indicated below.
My name: Address:
City, ST Zip: Contact Phone:

Check level of annual support:
$1,000 Benefactor	$500 Sponsor
$250 Patron	$125 Donor
$50 Basic Family	$40 Single Parent Family
$36 Individual
Senior Citizen:
$30 Individual	$40 Couple

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email address:
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