Membership Renewal 2021

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

* Mobile Phone

* Email Address

Occupation/Title

Employer Name

* Please choose your dues category:

Would you like to join MERCAZ and/or MASORTI?

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

I would like to join MERCAZ - $18I 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 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, 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

Mon, 18 October 2021
12 Cheshvan 5782

Friday Night

Teddy Bear Shabbat

: 5:30pm

Candle Lighting

: 5:48pm

Shabbat Day

Shacharit

: 9:30am

Havdalah

: 6:46pm

Upcoming Programs & Events

Oct

Teddy Bear Shabbat
Friday, Oct 22 5:30pm

This week's Torah portion is Parshat Vayera

Shabbat, Oct 23

Candle Lighting

Friday, Oct 22, 5:48pm

Havdalah

Motzei Shabbat, Oct 23, 6:46pm

Shabbat Mevarchim

Shabbat, Oct 30

View Calendar

Mon, 18 October 2021 12 Cheshvan 5782