Membership

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We invite you to join us as a member and become part of our extended family.

Our annual membership dues is: $72/month for a family and $36/month for a single.

* Family Last Name

* Member Name

Spouse Name

* Local Street Address

* Local City

* Local State

* Local Zip

Local Phone

Cell Phone

Spouse Cell Phone

E-Mail Address

Spouse E-Mail Address

* Tribe

Member Date of Birth

Spouse Date of Birth

* Member Full Hebrew Name (Transliterated)

Member Full Hebrew Name - Click on "N" for Hebrew Keyboard

Spouse Full Hebrew Name (Transliterated)

* Member Father's Full Hebrew Name (Transliterated)

Spouse Father's Full Hebrew Name (Transliterated)

* Member Mother's Full Hebrew Name (Transliterated)

Spouse Mother's Full Hebrew Name (Transliterated)

CHILDREN (Transliterate all Hebrew names)

Child 1 English Name

Child 1 Hebrew Name

Child 2 English Name

Child 2 Hebrew Name

Child 3 English Name

Child 3 Hebrew Name

Child 4 English Name

Child 4 Hebrew Name

YAHRZEITS (Transliterate all Hebrew names)

English Name of Deceased

Hebrew Name of Deceased

Hebrew Date of Passing

Relationship

English Name of Deceased

Hebrew Name of Deceased

Hebrew Date of Passing

* Relationship

English Name of Deceased

Hebrew Name of Deceased

Hebrew Date of Passing

Relationship

English Name of Deceased

Hebrew Name of Deceased

Hebrew Date of Passing

Relationship

English Name of Deceased

Hebrew Name of Deceased

Hebrew Date of Passing

Relationship

English Name of Deceased

Hebrew Name of Deceased

Hebrew Date of Passing

Relationship

Wed, April 24 2024 16 Nisan 5784