Membership Form
Please fill out this form and follow the link on the NU Hillel Website (
www.hillel.neu.edu
) to pay for whichever option you choose.
* Required
Name:
*
School/Local Address:
*
E-mail:
*
Local/Cell Telephone Number:
*
Home Address:
*
Home Telephone Number:
*
Birthday:
*
Class of 20:
Major:
Which type of membership would you like?
Choose one
Yearly Membership -- September 2009- May 2010- $54
Five Year Membership -- September 2009 -- May 2014 - $250 (Great for Freshman)
Four Year Membership -- September 2009 -- May 2013 -- $200
Semester Membership -- (4 Months) -- $36
Are youinterested in going on Birthright?
Yes
No
Would you be interested in joining a committee
Check whichever committees you are interested in
Programming
Community Service
Religious
Israel programming
Publicity
Other (Make your own)