Join HeChalutzim

How do I join?
Follow these three simple steps...

1. Complete the information below.
2. Print the completed form.
3. Mail your completed form with $10 membership fee to the USY office.

... OR download the form (Adobe Acrobat required), print it out, and mail it in with your membership fee.

• Name:
• E-mail:
• Address:
• City/Province/State/Zip/Postal Code:

• Phone:
• Grade:
• Chapter:
• Region: Choose your region CRUSY CHUSY Hanefesh ECRUSY EPA Far West METNY Emtza NERUSY Hagalil New Frontier Pinwheel Hagesher Seaboard Hanegev SWUSY Tzafon
• Are you a former HeChalutzim member?

  Yes
  No

• Payment:

  US $10 check or money order
  Can $10 check or money order

Instructions:
Please print out the completed form above, and mail with payment to the following: