Annual dues are$85/person and include
membership in the Society for Humanistic Judaism

HUMANISTIC JEWISH HAVURAH OF SWFL

Please print clearly.

Date:  __________________________________
Name: __________________________________________________________
Local Address: _____________________________________________________
City, State, Zip: ____________________________________________________
Home Phone: ________________________ Cell Phone: _____________________
E-mail Address: _____________________________ Months in FL: ____________
Northern Address: __________________________________________________
City, State, Zip: ____________________________________________________
Northern Phone: ___________________________________________________
What is (was) your occupation? _________________________________________
Special skills/talents/interests: _________________________________________
Birthday: _________________________ Anniversary: ______________________
Comments:______________________________________________________________

Make checks in the amount of $85/person payable to “HJH” 
(includes membership in the Society for Humanistic Judaism)

We are a 501(c)(3) corporation. Donations are tax deductible.

Mail to:  Joan Weinstein, 15191 Cedarwood Lane, #2505, Naples, FL 34110