NJAHS Membership Application

Print out this page and mail or fax to NJAHS (415-921-5087)

__ New                                    
__ Renewal

__ Basic $40 __ Family $50 __ Supporting $60
__ Contributing $100 __ Corporation $250 __ Patron $500
__ Life $1000 __ Non- profit $50 __ Student $25

For International Orders, please add $10.00 to membership fee.


Donation $________ __ My employer matches contributions to non-profit organizations __ Please send me information on your tax advantage-giving plan

Name: _______________________________________________________________

Address: _____________________________________________________________

City/State/Zip:________________________________________________________

Phone:_______________________________________________________________


Please make your check payable to either the "National Japanese American Historical Society" or "NJAHS" and mail to:

NJAHS
1684 Post Street
San Francisco, CA 94115

or I would like to charge my membership to:

__ Visa
__ Mastercard

Account number:______________________________________ Expiration date:__________________


Signature:____________________________________________________________


Your contribution is tax deductible to the extent permitted by law.

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