Application for joining the Association for the Recognition and Rights of the Second Generation of Holocaust Victims. Registered Association No. 580667756
Email address *
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: *
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 know that registration in the Association will be valid only after payment of membership fees. *
Date: *
Full name and signature *
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy