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BI Membership Form

A Beth Israel membership includes all members of a household family unit, which may be single individuals, married or committed couples, single parents, and unmarried children up to age 26.


 



Name
Address
City & Postal Code
Contact Number






Once logged into their account, members will have the ability to set which personal information is available online. If you are applying as a One-Adult member, do you want your partner/spouse (if applicable) listed in the Directory?  If yes, plese provide their name.
Name of partner/spouse

The names of your deceased loved ones will be read in synagogue on the Shabbat before the Yahrzeit Date (anniversary of death).  Unsure of the date?  Choose a date on which to remember your loved one.
Sat, 4 December 2021 30 Kislev 5782