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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

e.g. Yaakov ben Yitzhak v'Rikva


ADULT 2

e.g. Dinah bat Yaakov v'Leah


ADDRESS & HOME PHONE


EMERGENCY CONTACT INFORMATION


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.


YOUR TOTAL AMOUNT DUE

Sun, 9 August 2020 19 Av 5780