AssociAtion of Hebrew cAtHolics4120 w Pine blvd • st louis Mo 63108 • usA • (314) 535-4242 • ahc@hebrewcatholic.org

The Association of Hebrew Catholics (AHC) is a voluntary association of Catholics of both Jewish and non-Jewish origins. As a lay apostolate, the AHC is faithful to the teaching and discipline of the Magisterium.

We enlist the intercession of our patrons: Miriam, Our Lady of the Miracle, and St. Teresa Benedicta of the Cross (Edith Stein)

AffiliAtion / subscriPtion forM

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Mission: The AHC is a pastoral and educational work to preserve the identity and heritage of Israelites within the Church, helping them to serve the Lord, His Church, and all peoples within the mystery of their irrevocable gifts and calling. (cf. Rom. 11:29)

We invite you to affiliate with the AHC as a Member, Supporter, or Friend. Member: an individual who is a member of the Catholic Church, faithful to the teaching and discipline of the Magisterium, who supports the mission and work of the AHC, and who agrees to regularly pray for our work. Supporter: as above, but does not wish to be identified as a member (e.g., members of certain religious orders are not allowed to be members of other organizations) Friend: everyone else who supports and prays for the work of the AHC (e.g., those who are not Catholic; those who do not wish to be identified as a member or supporter)

Please indicate below the affiliation you desire: (Note: All affiliates receive our publication, The Hebrew Catholic.) Yourself: ___ Member ___ Supporter ___ Friend Spouse: ___ Member ___ Supporter ___ Friend

___ Subscribe to The Hebrew Catholic for four issues without affiliating. ___ Check enclosed ___ $15 US & Canada; ___ $25 all other countries ___ Charge card info below

Charge card info: (√) ___ American Express (√) ___ Discover (√) ___ Mastercard (√) ___ Visa

Card no: ________________________________________________ Expiration (month year): ___________

Security code: ______ (3 or 4 numbers on back of card) Signed: ____________________________________________

Affiliate Support Contribution: $____________

Pledge: $____________ per: ___ month ___ quarter ___ half-year ___ year to be given by: ___ check/money order/cash ___ charge card (info below) Total: $____________ ___ send reminders for check/money order pledges

Note: Contributions may also be made through our web site ( http://www.hebrewcatholic.org )The Association of Hebrew Catholics is a non-profit corporation. All contributions are tax deductible in accordance with §501(c)3 of the IRS code.

PerMission to sHAre contAct inforMAtion

We respect everyone's privacy and do not give out anyone's information without their permission. Even with permssion, we do not respond to institutional, ideological, religious, or commercial requests for information. However, we would like to help those who wish to make contact for conversation or prayer or a get together to develop a havurah, and so forth. If you are willing to be contacted for these type of reasons, please indicate below the kind of contact information you are giving us permission to share:

___ Address ___ Phone ___ Email

If you have checked off one or more contact items above, please indicate below if we may also share

___ your real name ___ the following pen name: ________________________________

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(√) ___ You may not give out any information about me.

bAckground As the work of the AHC develops, it is important for us to understand the background of our affiliates and subscribers. We would, therefore, appreciate your response below.

Yourself Religion: ___ Catholic ___ Other baptized ___ Judaism ___ *Other

Origin: ___ Jewish ___ Non-Jewish

Spouse Religion: ___ Catholic ___ Other baptized ___ Judaism ___ *Other

Origin: ___ Jewish ___ Non-Jewish

*Other (please indicate) ___________________________________________________________________________

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MessAge ( Include name & address for gift subscription )