Congregation B'nai Israel

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

MEMBERSHIP APPLICATION

Membership Type: *

Membership Information (Adult 1)

(If any questions are not applicable, please write “N/A”; if unknown, please write “unknown”)

Salutation: *

First Name: *

Last Name: *

Date of Birth: *

(mm/dd/yyyy)

Hebrew Name: *

Mother’s Hebrew Name: *

Father’s Hebrew Name: *

Tribe: *

Parents of Jewish Faith: *

Home Address: *

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Home Telephone: *

Cell Phone Number:

E-mail: *

A receipt will be e-mailed to this address.

Business/Profession:

Best way to contact you? *

Marital Status: *

If Married, Wedding Date:

(mm/dd/yyyy)

Membership Information (Adult 2)

Family Information

Please list all children including those away at college, married or living independently.

MAKING THE CONNECTION
The best way to experience our community is to become part of it by actively participating in synagogue activities. We offer many opportunities for you and your family to get and stay involved with CBI.

Please tell us your strengths and interests and in what ways you would like to get involved with the religious, educational, social and outreach activities of our community.

I am interested in:

Other:

COMMUNICATING WITH OUR MEMBERS

E-mail
We use e-mail to keep you informed of important information and programming. Our email list is privately administered. E-mails are not listed when announcements are sent out, nor are they shared with other organizations. You may opt out at any time if you do not wish to receive these e-mails.

I would like to receive e-mails from synagogue.

Telephone
We use an automated phone call system to disseminate emergency closings or other timely and important information.

I would like to be part of the automated phone call system.

Publicity
We take photographs for use on our website or for publicity and advertising. We never include names with these pictures.

I do not mind if photographs of me and my family are included in CBI publicity, advertising or website.

ACKNOWLEDGMENT

We/I acknowledge receipt of CBI’s schedule of fees and accept that these are binding until such time that we/I offer a resignation in writing to the synagogue office.

We/I agree to pay all financial obligations imposed in accordance with Congregation B’nai Israel’s Constitution and the current motions of the Board of Trustees.

Applicant: *

Date: *

(mm/dd/yyyy)