Membership Renewal

Welcome to Kehillat Beth 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. Please complete this form by July 31st 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

* First Name

* Last Name

Hebrew Name

e.g. Yaakov ben Yitzhak v'Rikva

Tribe

* Mobile Phone

* Email Address

Occupation/Title

Employer Name

* Please choose your dues category:

Would you like to join MERCAZ and/or support MASORTI?

I would like to join MERCAZ - $18I-would-like-to-support-MASORTI---18

Please check all that apply:

I would like to volunteerI would like to receive the weekly newsletter

Total Due

ADULT 2

First Name

Last Name

Hebrew Name

e.g. Dinah bat Yaakov v'Leah

Tribe

Mobile Phone

Email Address

Occupation/Title

Employer Name

Please choose your dues category:

Would you like to join MERCAZ and/or support MASORTI?

I would like to join MERCAZ - $18I-would-like-to-support-MASORTI---18

Please check all that apply:

I would like to volunteerI would like to receive the weekly newsletter

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

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.

Please enter other amount:

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

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