Membership & Donations

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Please Print this page and mail it to:

Generations After, Inc., c/o Isaac Kot, Treasurer, 67 South Bedford Street, Suite 400W, Burlington, MA 01803

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Membership Dues	$ 25.00
General Donation	$
Donation in Honor of: Name(s) of the honoree(s) _______________________________ Name and address to which the acknowledgement is to be sent: ______________________________________________________ ______________________________________________________	$
Donation in Memory of: Name(s) of the deceased ___________________________________ Name and address to which the acknowledgement is to be sent: ______________________________________________________ ______________________________________________________	$
Transportation Donation	$
Holiday Visits Donation	$
Cafe Hakalah Donation	$
Hymn of the Partisans Zog Nit Keyn Mol – CD $10.00 ea. This recording has been made in tribute to the Holocaust Survivors in our community and to the millions of souls who perished in the Shoah (Holocaust). Produced by Generations After, Inc. Musical Direction Emily Paley Singers: David Dembling, Holocaust Survivor; Emily Paley, Student Violinist: Jenna Brown, Award Receipient Facing History & Ourselves Narration: Matthew Stein, Child of a Holocaust Survivor Number of CD’s …………………………… _____________	$
Total	$

Name: ____________________________________________

Address: __________________________________________

Telephone Number: _______________________________

E-mail Address: ____________________________________

Addresses including e-mail addresses will not be sold or rented.

Generations After, Inc. is a 501(c)(3) organization; your contributions are tax deductible under Section 170 of the Internal Revenue Code.