Membership

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* First Name

* Last Name

* Email

Phone Number

Please choose your membership type

By joining as a Full or Associate member, you play a key part in the sustained growth of our shul.
**Please note: Associate membership is offered to those who live outside a 5-mile radius.

Complimentary Seats included with Membership

Full Family Membership includes up to 5 complimentary seats for Yamim Noraim.
Due to limited seating, please only choose seats for those who intend to attend.

Complimentary Seats included with Membership

Full Individual Membership includes 1 complimentary seat.

Additional Adult Seats

$75 per additional seat for adults (age 13+)

Additional Child Seats

$40 per additional seat for children (under 13 yrs old)

Choose Number of Seats

How would you like to pay for membership?

Seating Requests

	* Name	Location	When	Notes

Yes! Count me in as a monthly supporter of our Kehillah’s many programs!

yesno

Monthly Donation Sponsorship Tiers
(choose "split payments over 12 months" in next page)

- Amud haKehillah (Pillar of the Community) - $500/mo
Sustains the Kehillah’s core operations and growth.
- Keter Torah (Crown of Torah) - $360/mo
Supports shiurim, Torah classes, and learning programs.
- ViShinantem (And You Will Instruct Them) - $180/mo
Helps fund youth and family programming.
- Amud HaAvodah (Pillar of Service) - $100/mo
Strengthens daily tefillot, minyanim, and community needs.
- Chaver HaKehillah (Friend of the Kehillah) - $50/mo
Provides for Shabbat and holiday programming.
- Supporter - $36/mo
Keeps essential services running week by week.
- Chai Sponsor - $18/mo
Every bit helps keep our Kehillah thriving.

Choose your Monthly Donation Sponsorship Tier

Other monthly amount (enter annual total)

Amount for Geshem Fund - supporting the needy within our community.

Please make sure to fill in the seating requests above.
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Thank you so much!
Wishing you a SHANA TOVA!

Notes to our Administration (if applicable):

Total:

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Membership 5786 (2025-2026)

Yes! Count me in as a monthly supporter of our Kehillah’s many programs!