MEMBERSHIP FORM

We welcome you to join Kehillat Moriah as a member and reserve seats for the High Holidays.
Please complete the information below and return with payment to Kehillat Moriah no later than
two weeks before Rosh Hashana.

Member #1: Name _______________________, Hebrew Name ___________________________
Mother's Hebrew Name ______________, Father's Hebrew Name _______________ (Cohen \ Levi \ Yisrael)
Member #2: Name _______________________, Hebrew Name ___________________________
Mother's Hebrew Name ______________, Father's Hebrew Name _______________

Dates of Yahrtzeit (Hebrew date) and for whom __________________________________________
Name(s) and birthdate(s) of child(ren) __________________________________________________

Address: _____________________________________________________ Postal code: __________
Telephone number(s): ______________________________ E-mail address: ____________________

* Get Involved!
I\we would like to become involved in the committees marked below. Please contact me\us:
_ Executive Board _ Gabbai _Membership \ Recruitment
_ Kiddush _ Grant writing _ Special Events (Parties, Hikes, Fundraisers)
_ Shul operations _ Beit Danny _ Communications (Letters, flyers, e-mail\website)
_ Chessed (Home Hospitality, Meals for Moms, Leket food collections, Chessed events)

Seating Request for :
Seats # Men # Women
Members ______________ _______________
Non-members (250 NIS each) ______________ _______________


Child Care for :
We have ___ children under davening age. Please contact us about arrangements for child care for the High Holidays.

Payment:
Enclosed please find check \ cash:
__________ NIS for membership (525 NIS for family membership or 350 for individual membership)
__________ NIS for _____ Non Member seats (250 NIS each)
Total: __________ NIS

Please mail all forms with appropriate payment to
Kehillat Moriah
P.O.Box 4369
Jerusalem 91044 Israel

(no later than two weeks before the Rosh Hashana.)
Forms arriving late may have seating problems for the High Holiday.
____________________________________________________________________________________
For office use only:
Check #: _________ Bank: _____________ Date: ___________ Receipt#: __________

For more information email Kehillat Moriah
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