Become a Partner in History & the Future | <? echo SHORTNAME ?>

PARTNERS IN HISTORY & THE FUTURE

“Watching testimony makes me want to be a better person, and I think it has made me a better person, because it shows you how fragile life is.”

DARIAN LOPEZ
Student, University of Southern California

FOR THE FIRST TIME EVER, YOU CAN BECOME AN ANNUAL MEMBER

Your annual membership will support the USC Shoah Foundation Institute’s efforts to preserve the testimonies in perpetuity, expand the collection with accounts of survivors and witnesses of other genocides, and link individuals, educators, and students around the globe to the transformative lessons in our Visual History Archive, enabling the eyewitnesses of history to inspire change, one voice at a time. Download the brochure for more information.

EXEC dbo.Get_Online_CC @CCCR_Organisation_Name = 'SHOAH' EXEC dbo.Get_Lookup_New @Lookup_Type = 'State' EXEC dbo.Get_Lookup_New @Lookup_Type = 'Country' SELECT * FROM get_country ORDER BY Lookup_Data_2 EXEC dbo.Get_Lookup_New @Lookup_Type = 'Month' EXEC dbo.Get_Online_CC @Online_CC_ID = #form.donate_id# EXEC dbo.Get_Online_CC_Event_SubType @Online_CC_ID = #form.donate_id# EXEC dbo.Get_Online_CC_AYG @Online_CC_ID = #form.donate_id# EXEC dbo.Get_Online_CC_Custom @Online_CC_ID = #form.donate_id#


  Enter Contribution
Information

  Verify Your
Information

Confirmation

 		 

* = required

Choose your membership level

I would like to make a gift in the amount of:*

 $5,000.00      $2,000.00      $1,000.00      $500.00      $25.00    
 Other style="display:inline"style="display:none">  (note: $25 minimum)
Do you want to make the above payment as recurring?  checked/>
Do you have a referral code?  

Your Contact Information

Preferred Address: checked /> Home    checked /> Business
First Name:*  M.I.:  Last Name:* 

Spouse's/Partner's Name (if this will be a joint gift) (optional)
First Name:  M.I.:  Last Name: 

Name (how you would like to be recognized on the Institute's website)

Mailing Address
Company:  (optional)
Address:*
   (optional)
City:*
State:* ZIP Code/Postal Code:* 
Country: style="display:''"style="display:none">Province: 
Phone:*      style="display:inline;"style="display:none">
(Enter Other Phone Type) 		Phone Number:*   Extension: 
Email:*

Memorial or Honorarium? (optional)

checked onclick="javascript:tributeInformation(this.value, this.checked);"/>  In memory of...     checked onclick="javascript:tributeInformation(this.value, this.checked);" />  In honor of...     style="display:inline"style="display:none"> (Enter Other Occasion)
Name:
checked/> Send notification
    Gift Message
Name:   [#tmp#250 / 250] characters left
Address:
 
City:
State: ZIP Code/Postal Code:  
Country: style="display:inline"style="display:none"> Province: 

Your Billing Information

Credit Card Type:*
Credit Card Number*
(Please, DO NOT use spaces or dashes)
Card Verification Code:* (3-4 digit number on the back of the card)
Card Expiration:*

Your billing address must match the address on your billing statement:
checked/> Same as contact information
First Name:* M.I.:  Last Name:* 
Company:  (optional)
Address:*
   (optional)
City:*  
State:* ZIP Code/Postal Code:* 
Country: style="display:''"style="display:none"> Province: 

Contributions to the USC Shoah Foundation Institute are tax-deductible to the extent permissible by law.

The Institute uses a secure connection for online credit card transactions.

Read the University’s Privacy Policy.

checked="checked" /> 
checked="checked" /> 
checked="checked" />