Membership Renewal Form This form is only for membership renewals. For new members, please use the New Member Application. Society Information Name of society Society mailing address City Postal code State/Province Country Email address Web site Publication name Publication frequency Please signify if a member of another organization and give name Officer Information Society President’s Name President’s Email Society Treasurer’s Name Treasurer’s Email In what month are officers usually elected? Membership Fees Number of members at the end of the current year Membership fees (use the larger sum) Number of members x US $.50 = US $ or Minimum Membership Fees = US $18.00 I hereby certify that the number of members reported is true and correct. Date Officer’s (Digital) Signature (Please type your name to indicate your digital signature.) Officer’s Title Officer’s Email (This email will be used to send a confirmation.) Payment Annual fee for IAJGS Membership Contribution to the Rabbi Stern Grant Contribution to the Travel Fund Total Payment Payment Method Payment may be made by either check, PayPal, or credit card. Checks must be in US dollars and drawn on a US bank. We encourage our non-US members to use PayPal or credit card. Check Checks may be mailed to: IAJGS Treasurer c/o Douglas M Cohen 1800 Ben Franklin Drive A1002 Sarasota, FL 34236 USA PayPal or Credit Card After submitting this form, you will be provided a button to submit your Paypal/credit card payment to email@example.com. Please include the name of your JGS and your membership count in the message box.