Application for joining the Association for the Recognition and Rights of the Second Generation of Holocaust Victims. Registered Association No. 580667756

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Email *

Email: *

Name: *

Family Name: *

ID / Passport No. *

Address: *

City: *

Country: *

Telephone number: *

Cell phone number: *

I am ready to contribute to the activities of the Association in the field of: *

Administration and Processing

Distribution of content on social media (respectively, and in accordance with the instructions of the Association)

Members Recruitment

Fundraising and support to achieve the goals of the Association

Any professional field

Other assistance

My Professional Area or Other assistance was offered by:

Membership in the association depends on the payment of membership fees of 250 shekels a year. I undertake to pay membership fees within 15 days from the receipt of notice from the committee that I have been accepted into the Association. I will see my signature on this statement after I have been approved by the Committee - as an obligation to pay membership dues. Association bank details: Bank Leumi Le Israel (10) Einstein Branch (833), Tel Aviv, Israel Account No 63736406 Swift: LUMIILITXXX Iban: IL64 0108 3300 0006 3736 406 *

I understand and approve the above mentioned

I know that registration in the Association will be valid only after payment of membership fees. *

I understand and approve the above mentioned

Required

Date: *

YYYY

Full name and signature *

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