MOTHER LODE JEWISH COMMUNITY
YOUR JEWISH CONNECTION IN THE GOLD COUNTRY
Encompassing Amador, Calaveras and Tuolumne Counties
Membership Application
You may mail this form with your payment to:
Mother Lode Jewish Community
P.O. Box 1142
Angels Camp, CA 95222

Or you may just submit form and a bill will be sent to the address you give.
Please check amount of dues you
choose to pay.  We will send you a
reminder notice.
$100
$200
$500
Other
Name
Email
Street Address
City
State and Zip
Phone
Interests or Comments