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Membership Renewal

Welcome to KehillatBeth Israel. Your privacy is important to us. The information you provide will enrich your experience as a member of Kehillat Beth Israel and is for office use only.

As we will be sending a survey, to all members in early August to determine everyone's High Holy day placement, please complete this form by July 30th 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. 


ADULT 1

e.g. Yaakov ben Yitzhak v'Rikva


ADULT 2

e.g. Dinah bat Yaakov v'Leah


ADDRESS & HOME PHONE


EMERGENCY CONTACT INFORMATION


OPTIONAL DONATION

In you are able, please consider making a contribution in excess of your dues to help underwrite our inevitably increased need for dues subsidies this year.


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.
I/we understand that all requests for Dues reductions can only be considered after consultation with the Executive Director.


YOUR TOTAL AMOUNT DUE

Wed, 28 July 2021 19 Av 5781