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We welcome your interest in becoming a member of the JDA.
Being a member will enable us to better understand the individual needs of those facing the challenges for the prevention and control of diabetes and diabetes health related issues and to continue serving the community and will give you the opportunity to be an actual part of these services….
. PRESENTLY THERE IS NO MEMBERSHIP FEE
BUT YOUR DONATION WILL GO A LONG WAY IN HELPING US
CONTINUE THE VITAL WORK THAT IS BEING DONE!
In addition to your membership, become part of the mitzvah!
“…From Every Person Whose Heart Inspires Him To Generosity,
You Shall Take My Offering” (Exodus, chap. 25)
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Friend $54
Sponsor $72
Supporter $118
Dedication $180
Patron $360 (option for side bar space on our website for 1 month)
Dedicate a page on our website with a banner $500 (for 1 month)
Other
PAYMENT OPTIONS BELOW
Your donation is tax deductible
Name:
Address:
Date of Birth:
We would greatly appreciate additional information that will help us serve you better.
All information is strictly confidential and our lists are never shared. Thank you.
Marital status
Married
Single
Divorced/Widowed
Religion:
Who has diabetes
Self
Child
Spouse
Relative
Name and address of Physician and/or Diabetes Center
Doctor’s address and telephone number:
Type of diabetes
Type 1
Type 2
Gestational
Pre-Diabetes
Prevention
Treatment
Medication
Insulin
Combination
Pump Type
CGM (Constant glucose monitor)
Diet & Exercise
Please tell us how you heard about us:
Do you wish to receive updates and information via e-mail?
Yes
No
PAYMENT OPTIONS:
Please make checks or money orders payable to Jewish Diabetes Association.
Your donation can be mailed to our Brooklyn office
USA office: 1448 East 17th. St. Brooklyn NY 11230
Check
Money Order
Visa
MasterCard
American Express
Discover
To dedicate any portion of this website and/or advertise kindly contact our office.
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