5779 Membership Registration (Installment Option)

 

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

Yahrtzeits

Deceased Name
Hebrew Name
Yahrtzeit Date

Preferences

Primary Program Interests
  • Hebrew School
  • Attending Weekly Classes
  • Women's Chessed Group
  • Men's Club
  • Chevra Kadisha
  • Shabbas Club
  • Shabbat Morning Minyan
  • Youth Group

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

 

2017 - 2018 Membership Level

 

Please clearly mark which level membership you would like.

Single Membership $700
Enhanced Single Membership $1000
Family Membership $1200
Enhanced Family Membership $1500
Associate Membership $450

 

Additional Donations

High Holiday Aliyah $400
Special High Holiday Aliyah $1000
Year Round Aliyah $400
Kiddish Sponsorship $400
High Holiday Yizkor Unlimited $150
Quarterly Yizkor Unlimited $250

 

Payment Information

Credit Card Number*
Exp. Date*

Billing Information

Country
State / Province*
Address
City
Email*
Confirm Email*
Phone
Additional Comments

Security Code

Share This Form

Powered by eTapestry.