Membership Renewal Form This form is only for membership renewals. For new members, please use the New Member Application. Required fields are marked with an asterisk *. Organization Information Name of Organization * If organization is a member of another, larger organization, enter its name Mailing Address Street * City * Postal Code State/Province Country * Email Address * Website URL Publication Name Publication Frequency Organization Officer Information President’s Name * President’s Email * 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 the two amounts) 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: Douglas M Cohen IAJGS Treasurer 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 firstname.lastname@example.org. Please include the name of your JGS and your membership count in the message box.