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Membership Renewal 2021
Please verify reCaptcha before submitting the form.
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.
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
*
First Name
*
Last Name
Hebrew Name
e.g. Yaakov ben Yitzhak v'Rikva
Tribe
Cohen
Levi
Yisrael
None Set
*
Mobile Phone
*
Email Address
Occupation/Title
Employer Name
*
Please choose your dues category:
Choose below
I-am-41-or-over---1100
I-am-36-to-40---836
I-am-31-to-35---430
I-am-22-to-30---218
I am under 21 - $0
I will speak to the Executive Director about a Dues reduction
Would you like to join MERCAZ and/or MASORTI?
I would like to join MERCAZ - $18
I would like to join MASORTI - $18
Membership in Mercaz increases the voice of the Conservative movement in Israel and as part of the World Zionist Organization. For more information
click here
.
Masorti is the Conservative movement in Israel. For more information on how Masorti supports the advancement of Conservative Jewish life in Israel
click here
.
Please check all that apply:
I would like to volunteer
I 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
Cohen
Levi
Yisrael
None Set
Mobile Phone
Email Address
Occupation/Title
Employer Name
Please choose your dues category:
Choose below
I-am-41-or-over---1100
I-am-36-to-40---836
I-am-31-to-35---430
I-am-22-to-30---218
I am under 21 - $0
I will speak to the Executive Director about a Dues reduction
Would you like to join MERCAZ and/or MASORTI?
I would like to join MERCAZ - $18
I would like to join MASORTI - $18
Membership in Mercaz increases the voice of the Conservative movement in Israel and as part of the World Zionist Organization. For more information
click here
.
Masorti is the Conservative movement in Israel. For more information on how Masorti supports the advancement of Conservative Jewish life in Israel
click here
.
Please check all that apply:
I would like to volunteer
I 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.
Choose below
$72
$118
$180
$250
$360
$540
$1000
$1800
Other
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, 2021 to June 30, 2022.
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
Sat, 25 June 2022
26 Sivan 5782
Today's Calendar
Shabbat Mevarchim
Shacharit
: 9:30am
Havdalah
: 9:37pm
Friday Night
Candle Lighting
: 8:37pm
Shabbat Day
Shacharit
: 9:30am
Havdalah
: 9:37pm
This week's Torah portion is
Parshat Sh'lach
Candle Lighting
Shabbat, Jun 25, 8:37pm
Havdalah
Motzei Shabbat, Jun 25, 9:37pm
Shabbat Mevarchim
Shabbat, Jun 25
View Calendar
Sat, 25 June 2022 26 Sivan 5782
