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Associate Renewal 20/21
Welcome to Kehillat Beth Israel. Your privacy is important to us. The information you provide will enrich your experience as an associate of Kehillat Beth Israel and is for office use only. Please complete this form by August 15th along with your annual dues payment information. Thank you for being a part of our community; we look forward to continuing to grow and learn with you and your family.
If you are paying by cheque, please
click here
to download our Associate application form.
ADULT 1
*
First Name
*
Last Name
Hebrew Name
e.g. Yaakov ben Yitzhak v'Rikva
Tribe
Click here
Kohen
Levi
Yisrael
Unknown
Not Jewish
*
Mobile Phone
*
Email Address
Please check all that apply:
I would like to renew as an associate - $250/person
I would like to receive the weekly newsletter
I would like to volunteer
Are you affiliated with another synagogue?
Yes
No
If yes, please provide name/city/province of synagogue:
Total Due
ADULT 2
First Name
Last Name
Hebrew Name
e.g. Dinah bat Yaakov v'Leah
Tribe
Click here
Kohen
Levi
Yisrael
Unknown
Not Jewish
Mobile Phone
Email Address
Please check all that apply:
I would like to renew as an associate - $250/person
I would like to receive the weekly newsletter
I would like to volunteer
Are you affiliated with another synagogue?
Yes
No
If yes, please provide name/city/province of synagogue:
Total Due
ADDRESS & HOME PHONE
*
Address Line 1
Address Line 2
*
City
*
Province
*
Postal Code
Phone Number
EMERGENCY CONTACT INFORMATION
Name of emergency contact
Phone number of emergency contact
Relationship to family
MEMBERSHIP AGREEMENT
I/we promise to abide by all the rules and regulations of the Congregation as stated in the By-Laws.
I/we understand that the Fiscal Year for payment of all Kehillat Beth Israel accounts is July 1, 2020 to June 30, 2021.
I/we agree with all of the above statements.
YOUR TOTAL AMOUNT DUE
Total Due
Tue, 26 January 2021
13 Shevat 5781
Friday Night
Candle Lighting
: 4:47p
Shabbat Day
Shacharit
: 9:30a
Havdalah
: 5:49p
This week's Torah portion is
Parshat Beshalach
Shabbat, Jan 30
Candle Lighting
Friday, Jan 29, 4:47p
Havdalah
Motzei Shabbat, Jan 30, 5:49p
Tu B'Shvat
Thursday, Jan 28
View Calendar
Tue, 26 January 2021 13 Shevat 5781