Membership Form

42 Washington Mews, New York, NY 10003
Fax: 212.995.4327
Please fill out, print and then fax to Deutsches Haus.

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Yes, I would like to support the Deutsches Haus at NYU and become a member.
Yes, I would like to support Deutsches Haus at NYU. In addition to my membership, I am delighted to enclose a charitable gift to DH in the amount of $.
Yes, I would like to support Deutsches Haus at NYU without becoming a member. Enclosed is my gift in the amount of $.
Yes, I would like to support Deutsches Haus at NYU and my employer will match this gift. (I have enclosed/will send the appropriate form for applying)

Deutsches Haus Membership Categories

Director's Circle	$10,000+/year*
Fellow	$5,000+/year*
Benefactor	$2,500+/year*
Sponsor	$ 1,000+/year*
Donor	$ 250+/year*
Friend	$ 100+/year*
Contributor	$ 50+/year*

First Name/Last Name:
Company (If company donation):
Street, Apt., Suite
City:		State:
Zip:
Telephone:		Fax:
e-mail:

Please make checks payable to
Deutsches Haus at NYU
* contributions are tax deductible