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Associate Renewal 21/22

 

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, 2021 to June 30, 2022.


YOUR TOTAL AMOUNT DUE

Wed, 28 July 2021 19 Av 5781