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Membership
Membership Level
*
$60
-
Annual Membership
$36
-
Double Chai Membership
$150
-
Board Member Dues Includes Annual Membership
Your Contact Information
Name
*
First Name
Last Name
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Email
*
Verify Email
*
Phone
*
This is a gift membership
This is a gift membership
Membership Gift Recipient Name
First Name
Last Name
Membership Gift Recipient Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Membership Gift Recipient Email
Verify Email
Additional Information
The information below is so we can personalize your NCJW experience. Your information will never be shared outside of NCJW Chicago North Shore.
Birth Date
*
(mm/dd/yyyy)
How can we best engage you?
*
Advocacy
Education
Community Service
Creative/Communications
Fundraising
Leadership
Programming
Add 3% to my total amount to help cover the payment processing fees