The Habonim Dror Foundation

For now you must print this out and return it to us by snail mail, or save it as text, and email it to us at foundation@habonimdror.org

Please return to:
The Habonim Dror Foundation
114 W. 26th St., Suite 1004
NY, NY 10001
Phone: 646-486-1689
Fax: 212-929-3459
Email: foundation@habonimdror.org

The Habonim Dror Foundation has 501(c)(3) tax exempt status in the United States. Canadians may also make tax deductible donations and should contact the Habonim Dror Foundation for details.

Date: _______________________

Name: ___________________________________________________________

Maiden Name: _____________________________________________________

Street Address: _____________________________________________________

City, State, Zip: _____________________________________________________

Phone, Fax, Email: _____________________________________________________

Camps Attended, Years: _____________________________________________________

Hometown Ken: _____________________________________________________

MB Year, Workshop #: _____________________________________________________

My/our annual gift to the Habonim Dror Foundation is:

____$54. ____$90. ____$180. ____$540 __________Other

____Enclosed:$_________ ____Pledge:$_________

____ Attached are the names and addresses of families who may be interested in sending their children to a Habonim Dror summer camp. Please send them camp brochures.

____ I'm willing to volunteer to help the Habonim Dror Foundation. Call me.

____ Enclosed is a check made out to Herzl Press for a copy of Builders and Dreamers, the recently published history of the first 50 years of Habonim Dror (paperback - $14.95, Hardcover - $29.95)

____ Below ____ Attached are the names of additional alumni and supporters who should be on the Habonim Dror Foundation mailing list and receiving the "chadashot" newsletter. (Please type or write clearly)

Chevre Who Should Also Be On the Habonim Dror Foundation Mailing List:

Please verify name and address data if you're not sure it's current. We're mobile and mail forwarding expires after 6 months. Verifying names and addresses now will minimize the need for painstaking follow-up work by foundation volunteers. Please send in all the alumni names that you have (copies of old camp rosters, Ken lists, etc.). Please send only copies, originals will not be returned. Thank you.

Name: ____________________________________________

Verified Current Address: ____________________________________________

Phone, Email: ____________________________________________

Habonim Dror History (Camp, Ken, Workshop # ____________________________________