5781 Membership Registration (Installment Option)

 

 

Membership Level

Single & Family Memberships include:

  • Hebrew school reduced tuition
  • Bar/Bat Mitzvah facilitation
  • 30% discount on Social Hall rental
  • Jewish Learning Institure (JLI) class discounts
  • High Holiday early bird reserved seating

Enhanced Membership Also includes:

  • Priority reservation on kiddush sponsorhsip for one occassion of your choice (Please call 614-939-0765 to reserve your date)

Associate Membership includes: 

  • Jewish Learning Institure (JLI) class discounts
  • High Holiday early bird reserved seating for two

 

Please choose any additional donations that you would like to add

If you are renewing your membership from 2019-2020 (5780), the only information required is any information that has changed from 2019-2020 to 2020-2021.

Principal Members

Member First & Last Name*
Member Jewish Name
Member Birthdate
Member Mother's Jewish Name
Principal Member Father's Jewish Name
Member Employer
Additional Member First & Last Name
Additional Member Jewish Name
Additional Member Birthdate
Additional Member Mother's Jewish Name
Additional Member Father's Jewish Name
Additional Member Employer

Children

First Child

Name
Hebrew Name
Birthdate

Second Child

Name
Jewish Name
Birthdate

Third Child

Name
Jewish Name
Birthdate

Fourth Child

Name
Hebrew Name
Birthdate

Wall of Remembrance Information

Name of Deceased
Hebrew Name of Deceased
Date of Passing
Time of Passing

Preferences

Primary Program Interests

Billing Information

Country
Email*
Confirm Email*
Phone

Payment Information

Credit Card Number*
Exp. Date*

 

Additional Comments

Security

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