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| If you agree with what you read here,
please contact us and be counted as an Associate (check one of the two
boxes below). In addition, you can become a Member by returning the
form below with your check. Benefits include free consultation and 10%
discount on mail order sales. |
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1. You can e-mail your form by clicking
on the submit button below at the end of this form |
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2. Or you can fill out this form, print
and mail to JCRC or fax to area code six-one-seven,
five-two-three-zero-zero-eight-eight |
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3. Visa and MasterCard accepted |
ASSOCIATE/MEMBERSHIP FORM |
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I am Jewish and would not circumcise a
future son (even though I may not plan on having more children). |
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I am Jewish and the parent of an intact
son. |
| Yes! I want to support the
Jewish Circumcision Resource Center. To help inform others, I enclose
my tax deductible gift: |
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$25 Member $35 Family $50 Donor |
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$100 Patron $500 Sponsor Other |
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Telephone
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Check enclosed (U.S. dollars drawn on a
U.S. bank)
Please make your check payable to Jewish Circumcision Resource Center. |
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Visa MasterCard |
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Credit Card Number
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Expiration Date
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I'm interested in more information on |
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I want to know about telephone counseling. |
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I'd like to find out about volunteering. |
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All information is strictly confidential. |
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